TY - JOUR
T1 - Complications of Radial vs Femoral Access for Coronary Angiography and Intervention
T2 - What Do the Data Tell Us?
AU - Krittanawong, Chayakrit
AU - Uppalapati, Lakshmi
AU - Virk, Hafeez Ul Hassan
AU - Qadeer, Yusuf Kamran
AU - Irshad, Umer
AU - Wang, Zhen
AU - Sharma, Samin
AU - Jneid, Hani
N1 - Publisher Copyright:
© 2024 Elsevier Inc.
PY - 2024/6
Y1 - 2024/6
N2 - In the last decades, radial access, as an alternative to femoral access, has rapidly evolved and emerged as the preferred vascular access for coronary angiography and percutaneous coronary intervention (PCI). The use of radial access for PCI can reduce access-site bleeding, particularly retroperitoneal bleeding, and risk of developing pseudoaneurysm, while also improving patient comfort after procedure (eg, early ambulation). However, radial access requires a longer learning curve to develop technical skills, and the data on radial artery graft for coronary artery bypass graft after radial access remain insufficient. Further, recent clinical trials have shown conflicts regarding whether radial access is associated with lower mortality in patients with ST-elevation myocardial infarction. Despite these recent investigations, it is still debated whether there are benefits associated with radial access over femoral access for PCI. In this review, we will evaluate radial access compared with femoral access for PCI on clinical outcomes and further discuss the usefulness of radial access.
AB - In the last decades, radial access, as an alternative to femoral access, has rapidly evolved and emerged as the preferred vascular access for coronary angiography and percutaneous coronary intervention (PCI). The use of radial access for PCI can reduce access-site bleeding, particularly retroperitoneal bleeding, and risk of developing pseudoaneurysm, while also improving patient comfort after procedure (eg, early ambulation). However, radial access requires a longer learning curve to develop technical skills, and the data on radial artery graft for coronary artery bypass graft after radial access remain insufficient. Further, recent clinical trials have shown conflicts regarding whether radial access is associated with lower mortality in patients with ST-elevation myocardial infarction. Despite these recent investigations, it is still debated whether there are benefits associated with radial access over femoral access for PCI. In this review, we will evaluate radial access compared with femoral access for PCI on clinical outcomes and further discuss the usefulness of radial access.
KW - Coronary angiography
KW - Femoral access
KW - PCI
KW - Radial access
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U2 - 10.1016/j.amjmed.2024.02.022
DO - 10.1016/j.amjmed.2024.02.022
M3 - Review article
C2 - 38387541
AN - SCOPUS:85188422981
SN - 0002-9343
VL - 137
SP - 483
EP - 489
JO - American Journal of Medicine
JF - American Journal of Medicine
IS - 6
ER -