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Original Research Article

Anatomical and geometric considerations for transradial versus transfemoral approach to extracranial carotid artery stenting:

  • Transradial (TR) and transfemoral (TF) approaches for extracranial carotid artery stenting (eCAS) were compared in 1346 patients.
  •  Conversion from TR to TF occurred in 17%, significantly increasing complication risks.
  • A left common carotid artery origin angle <90°, especially around 50°, was linked to higher complications.
  • Other geometric features did not predict outcomes; both approaches are generally safe when appropriately selected.

From Department of Neuroendovascular Surgery, HCA Houston Healthcare Kingwood, 22999 Hwy 59 N 405, Kingwood, TX 77339, USA.

View at: https://doi.org/10.1177/15910199251330120

 

 

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