TY - JOUR
T1 - Radial-specific catheters for neuroendovascular procedures
T2 - A systematic review and meta-analysis
AU - Mortezaei, Ali
AU - Al-Saidi, Nadir
AU - Mohammadzadeh, Ibrahim
AU - Behnood, Jamal
AU - Essibayi, Muhammed Amir
AU - Taghlabi, Khaled M.
AU - Abdelsalam, Ahmed
AU - Habibi, Mohammad Amin
AU - Hajikarimloo, Bardia
AU - Guada-Delgado, Luis
AU - Saha, Ram
AU - Rahmani, Redi
AU - Faraji, Amir H.
AU - Starke, Robert M.
N1 - Publisher Copyright:
© The Author(s) 2025.
PY - 2025/8/28
Y1 - 2025/8/28
N2 - 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.
AB - 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.
KW - Armadillo
KW - BMX 81
KW - Neurointervention
KW - RIST
KW - Radial-specific catheters
KW - Zoom RDL
UR - https://www.scopus.com/pages/publications/105014801578
UR - https://www.scopus.com/inward/citedby.url?scp=105014801578&partnerID=8YFLogxK
U2 - 10.1007/s10143-025-03765-x
DO - 10.1007/s10143-025-03765-x
M3 - Review article
C2 - 40874961
AN - SCOPUS:105014801578
SN - 0344-5607
VL - 48
JO - Neurosurgical Review
JF - Neurosurgical Review
IS - 1
M1 - 626
ER -