A comparison of the radial and the femoral approach in vein graft PCI. A retrospective study.

Autor: Ziakas, Antonios, Klinke, Peter, Mildenberger, Richard, Fretz, Eric, Williams, Malcolm, Della Siega, Antony, Kinloch, David, Hilton, David
Předmět:
Zdroj: International Journal of Cardiovascular Interventions; Aug2005, Vol. 7 Issue 2, p93-96, 4p
Abstrakt: BACKGROUND: Transradial PCI is a safe and effective method of percutaneous revascularization. However, there is limited data on the efficacy of the transradial approach for saphenous vein graft (SVG) PCI. METHODS: We studied 334 patients who underwent SVG PCI between January 2000 and December 2003, and compared the radial (132 patients) and the femoral (202 patients) approach. RESULTS: Mean EF (55.6±18.6% radial versus 58.1±16.8% femoral), lesion location (proximal, mid, distal: 22.6/50.6/26.7% versus 22.6/44.5/32.9% respectively) and lesion type (B1/B2/C: 3.4/4.1/92.5% versus 0.4/3.1/96.5%) were similar in both groups ( P >0.05). Five patients had a failed radial attempt (3.8%) and were switched to the femoral approach. Mean fluoroscopy time (20.4±12.2 versus 18.4±10.2min), procedural time (60.0±27.2 versus 61.6±24.9 min) and the use of contrast (223±91 versus 234±91ml) IIB/IIIA inhibitors (27.2 versus 33.2%), and stenting (81.5 versus 81.3%) were similar in both groups, whereas 5 or 6 French sheaths were used more often in the radial group (83.4 versus 64.9%, P [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index