Comparison of Transradial and Transfemoral Approaches for Coronary Angiography and Percutaneous Intervention in Patients with Coronary Bypass Grafts

Autor: Mehiar El-Hamdani, Yazan Numan, Rameez Sayyed, Hisham Hirzallah, Sutoidem Akpanudo, Zachary Curtis, Emilia C. Leigh, Mohammad Amro, Damir Kusmic, Ahmed Amro, Julia Parsons
Rok vydání: 2020
Předmět:
Male
Cardiac Catheterization
medicine.medical_specialty
Time Factors
Percutaneous
medicine.medical_treatment
Population
Contrast Media
Coronary Artery Disease
Punctures
Femoral artery
030204 cardiovascular system & hematology
Coronary Angiography
Coronary artery disease
03 medical and health sciences
Percutaneous Coronary Intervention
0302 clinical medicine
Predictive Value of Tests
medicine.artery
Catheterization
Peripheral
medicine
Humans
030212 general & internal medicine
Coronary Artery Bypass
education
Aged
Retrospective Studies
Cardiac catheterization
education.field_of_study
business.industry
Retrospective cohort study
General Medicine
Middle Aged
Radiation Exposure
medicine.disease
Surgery
Femoral Artery
Treatment Outcome
medicine.anatomical_structure
Radial Artery
Conventional PCI
Female
Cardiology and Cardiovascular Medicine
business
Artery
Zdroj: Cardiovascular Revascularization Medicine. 21:2-5
ISSN: 1553-8389
Popis: Objective We sought to compare the transradial and transfemoral approaches for coronary angiography and percutaneous intervention in patients with coronary artery bypass grafts in terms of volume of radiographic contrast administered during cardiac catheterization, fluoroscopy time, and total procedure time. Background The transradial access has been increasingly used as an alternative to transfemoral. Several studies demonstrated that such access is associated with lower rates of vascular and bleeding complications. Although coronary artery bypass graft patients comprise a significant portion of the coronary artery disease population, this subpopulation was often excluded or underrepresented in transradial access studies. Methods Single center, retrospective cohort study. In the study period, all patients who had previously undergone coronary artery bypass graft surgery and had received cardiac catheterization at our institution were included in the study population. Results A total of 2153 patients were included in the study. From these, 1937 were performed by femoral artery and 216 by transradial approach. Compared to the transfemoral approach, transradial access was associated with lower contrast use (136.3 ± 74.4 ml vs. 122.8 ± 59.1 ml, p = 0.035) and longer fluoroscopy time (13.9 ± 25.6 min vs. 15.9 ± 14.3 min, p Conclusion Diagnostic and interventional catheterization through the transradial approach in patients with previous coronary artery bypass graft surgery was associated with less contrast amount used and longer fluoroscopy time compared to the transfemoral approach. The transradial approach was also associated with lower crossover rates and less vascular complications.
Databáze: OpenAIRE
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