Stroke Process in FEmoral Versus Radial Access

Stroke Process in FEmoral Versus Radial Access

In patients with suspected acute stroke due to large vessel occlusion with indication for endovascular treatment, radial access is just as safe, fast, and effective as femoral access, and it improves the entire stroke treatment process.

Investigators will compare the procedure times, angiographic results as well as the clinical evolution and the patient's experience during their hospital stay and after discharge, depending on the arterial access practiced for mechanical thrombectomy.

Inclusion Criteria:

• Patients with high suspicion of ischemic stroke due to large cerebral vessel occlusion defined by NIHSS> 10.
• Immediate availability of the entire team responsible for endovascular treatment (Neurologist, Neurointerventional physician, Anesthetist, Nursing, Technicians ...)
• Radial artery diameter ≥2.5 mm
• Presence of femoral pulse or patency by ultrasonography in its defect.
• Previous functional independence (mRS 0-2).

Exclusion Criteria:

• Life expectancy of less than 6 months.
• Intracranial hemorrhage
• Patients with pre-existing neurological or psychiatric pathology that may confuse future evaluations.
• No availability for follow-up after 90 days.