Transradial versus transfemoral neuroangiography in a tertiary pediatric hospital—a propensity score matched study

Question Despite widespread adoption in adult neurointerventional practice, evidence of transradial access (TRA) in the pediatric population remains limited. Findings TRA has a comparable technical success rate to transfemoral access (TFA) in a large cohort of neurovascular procedures in a selected pediatric population. Clinical relevance TRA is a technically feasible alternative to TFA for pediatric neurovascular procedures in a selected group of patients. Preprocedural ultrasound assessment of the radial artery and optimization of the sheath-to-artery ratio are essential for minimizing radial artery occlusion.