Comparison of radial versus femoral access using hemostatic devices following percutaneous coronary intervention

Naresh Rana; Rajesh Vijayvergiya; Ganesh Kasinadhuni; Suraj Khanal; Prashant Panda

doi:10.1016/j.ihj.2021.04.006

Comparison of radial versus femoral access using hemostatic devices following percutaneous coronary intervention

Indian Heart J. 2021 May-Jun;73(3):382-384. doi: 10.1016/j.ihj.2021.04.006. Epub 2021 May 4.

Authors

Naresh Rana¹, Rajesh Vijayvergiya², Ganesh Kasinadhuni¹, Suraj Khanal¹, Prashant Panda¹

Affiliations

¹ Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh-160012, India.
² Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh-160012, India. Electronic address: vijayvergiya.rajesh@pgimer.edu.in.

Abstract

Arterial access site complications are the important predictor of successful percutaneous coronary interventions (PCI). We prospectively studied 722 consecutive PCI patients for access site complications. A total of 303 trans-femoral access (TFA) patients who had suture based vascular closure devices (VCD) were compared with 419 transradial access (TRA) patients. Incidence of hematoma was more in TFA (2.3% vs 0.23%, p 0.01). Median ambulation time (4 h vs 1 h, p < 0.01) was significantly higher in TFA. In conclusion, TRA had fewer access site complications like haematoma, compared to TFA with VCD. TRA also resulted in earlier ambulation and discharge, compared to TFA with VCD.

Keywords: Trans-femoral access; Transradial access; Vascular closure device.

Publication types

Comparative Study

MeSH terms

Aged
Catheterization, Peripheral* / adverse effects
Female
Femoral Artery / surgery
Hemostatics*
Humans
Male
Middle Aged
Percutaneous Coronary Intervention* / adverse effects
Radial Artery / surgery
Treatment Outcome

Substances

Hemostatics