Comparison of radiation exposure associated with transradial and transfemoral access: An updated meta‐analysis

Autor: Najam Saqib, Muhammad S. Pir, Sharath Rajagopalan, Tejas M. Patel, Samir B. Pancholy
Rok vydání: 2022
Předmět:
Zdroj: Catheterization and Cardiovascular Interventions. 101:87-96
ISSN: 1522-726X
1522-1946
DOI: 10.1002/ccd.30513
Popis: To assess differences in radiation exposure between transradial access (TRA) and transfemoral access (TFA) for coronary procedures.TRA is associated with increased radiation exposure as compared to TFA. We compared radiation exposure between the two access sites.Databases were searched from June 2014 to August 2021 for randomized controlled trials (RCTs) reporting coprimary outcomes of fluoroscopy time (FT) and/or dose area product (DAP) comparing TRA with TFA. Meta-regression was performed to assess the behavior of weighted mean difference (WMD) in FT from 1995 to 2021. Observational study data was used for corroborative evidence.Data from 8 RCTs (11,611 patients) showed the WMD of FT was 0.62 min (37 s) (95% confidence interval [CI]: [0.08-1.17], p = 0.023) in favor of TFA, WMD in DAP (9169 patients) was 1.94 Gy.cmRadiation exposure between TRA and TFA continues to decrease overtime and is becoming clinically nonsignificant.
Databáze: OpenAIRE
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