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Background <p>Despite a radial-first approach in many neurointerventions, there are no systematic reviews and meta-analysis which comprehensively assess radial-specific catheter for neuroendovascular procedures.&#xa0;A systematic literature search was conducted through four electronic databases based on PRISMA 2020 guideline. Risk of bias was assessed employing Risk of Bias in Non-randomized Studies of Interventions (ROBINS-I) tool.&#xa0;A total of eleven studies with 990 patients using Armadillo, RIST, Zoom RDL, and BMX 81 catheters were included. The Armadillo showed significantly lower failure to catheterize the target vessel (0.0% vs. 3.04%, <i>P</i> = 0.036) than RIST. The Zoom RDL catheter had relatively higher failure rate of 10.3%. There was no significant difference between the Armadillo and RIST catheters in procedure-related complications. There were no reported cases of arterial spasm or hemorrhage for Armadillo catheter. RIST catheter had a 3.2% rate of neurological complications, a 3.1% rate of transfemoral conversion, and a 1.8% rate of hematoma. The BMX 81 catheter had a 2.5% rate of arterial vasospasm and a 5% rate of procedure-related complications. The Zoom RDL catheter had consistent rates of procedure-related, transfemoral conversion, and neurological complications, all at 6.9%, with insufficient data on other complications.</p>

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Radial-specific catheters for neuroendovascular procedures: A systematic review and meta-analysis

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月28日

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  • Ali Mortezaei,
  • Nadir Al-Saidi,
  • Ibrahim Mohammadzadeh,
  • Jamal Behnood,
  • Muhammed Amir Essibayi,
  • Khaled M. Taghlabi,
  • Ahmed Abdelsalam,
  • Mohammad Amin Habibi,
  • Bardia Hajikarimloo,
  • Luis Guada-Delgado,
  • Ram Saha,
  • Redi Rahmani,
  • Amir H. Faraji,
  • Robert M. Starke

摘要

Background

Despite a radial-first approach in many neurointerventions, there are no systematic reviews and meta-analysis which comprehensively assess radial-specific catheter for neuroendovascular procedures. A systematic literature search was conducted through four electronic databases based on PRISMA 2020 guideline. Risk of bias was assessed employing Risk of Bias in Non-randomized Studies of Interventions (ROBINS-I) tool. A total of eleven studies with 990 patients using Armadillo, RIST, Zoom RDL, and BMX 81 catheters were included. The Armadillo showed significantly lower failure to catheterize the target vessel (0.0% vs. 3.04%, P = 0.036) than RIST. The Zoom RDL catheter had relatively higher failure rate of 10.3%. There was no significant difference between the Armadillo and RIST catheters in procedure-related complications. There were no reported cases of arterial spasm or hemorrhage for Armadillo catheter. RIST catheter had a 3.2% rate of neurological complications, a 3.1% rate of transfemoral conversion, and a 1.8% rate of hematoma. The BMX 81 catheter had a 2.5% rate of arterial vasospasm and a 5% rate of procedure-related complications. The Zoom RDL catheter had consistent rates of procedure-related, transfemoral conversion, and neurological complications, all at 6.9%, with insufficient data on other complications.