Transradial Access Results in Faster Recanalization in Left Anterior Circulation Stroke with Bovine Arch Anatomy

Background We compared technical and clinical outcomes of transradial (TRA) versus transfemoral (TFA) access for mechanical thrombectomy acute ischemic stroke due to large vessel occlusion in the left anterior cerebral circulation bovine origin. Methods A single‐center retrospective review a prospectively maintained neurointerventional database from volume service tertiary academic center. Procedural metrics, technical, data were collected analyzed patients who underwent presenting with Clinical procedural included average number passes, single first effective pass, rate successful recanalization (thrombolysis infarction score≥2b), 3‐month disability modified Rankin scale scores, time skin puncture microcatheter placement, recanalization. Results Between January 2018 2021, 26 (TRA=13, TFA=13) thrombectomy. The TRA cohort had significantly shorter minutes placement (TRA: 17.0±5.8 TFA: 35.4±20.5; P =0.0001), 34.0±15.6 58.1±34.6; =0.01), total fluoroscopy 13.8±9.4 29.5±18.0; =0.03). score (0–1) was higher group (38.5% 7.69%; =0.06). Conclusions In origin, right permits more direct navigation provides stable platform resulting procedure times faster potential improved functional outcomes.