Transradial versus transfemoral neuroangiography in a tertiary pediatric hospital—a propensity score matched study - Summary - MDSpire
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Comparison of Transradial and Transfemoral Neuroangiography in a Tertiary Pediatric Setting: A Propensity Score Matched Analysis

  • By

  • Fung, Kin Fen Kevin

  • Parra-Farinas, Carmen

  • Rea, Vanessa

  • Ho, Jessica

  • Ayoub, Marc

  • Lee, Chun Wai

  • Bickford, Suzanne

  • Muthusami, Prakash

  • February 27, 2026

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Objective:

To evaluate the feasibility and safety of transradial access for pediatric neurovascular procedures by comparing its technical success and complication rates with those of the conventional transfemoral approach, highlighting the significance of this comparison.

Key Findings:
  • Transradial access demonstrated comparable technical success rates to transfemoral access, with specific statistical outcomes.
  • Complication rates were lower in the transradial group compared to the transfemoral group.
  • Predictors of radial artery occlusion were identified, emphasizing the importance of pre-procedural assessment.
Interpretation:

Transradial access is a feasible and safe alternative to transfemoral access for pediatric neurovascular procedures, with potential benefits in terms of complications and recovery time, which could influence clinical practice.

Limitations:
  • Retrospective design may introduce selection bias, which should be considered when interpreting results.
  • Single-center study limits generalizability of findings; further multi-center studies are needed.
Conclusion:

Transradial access should be considered as a viable option for pediatric neurovascular interventions, particularly in older children and adolescents, with a call for further research to validate these findings.

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