The Rise of Transradial Artery Access for Percutaneous Coronary Intervention in Patients with Acute Coronary Syndromes in Australia

Objectives. The aim of this study was to evaluate the outcomes of acute coronary syndrome (ACS) patients undergoing percutaneous coronary intervention (PCI) via transradial artery access (TRA) or transfemoral artery access (TFA). Background. Over the last decade, evidence for the benefit of TRA for...

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Bibliographic Details
Published in:Journal of interventional cardiology 2020, Vol.2020 (2020), p.1-8
Main Authors: Farshid, Ahmad, Marley, Paul, Doost, Ata, Ocsan, Ryan James
Format: Article
Language:English
Subjects:
Acute Coronary Syndrome - diagnosis
Acute Coronary Syndrome - epidemiology
Acute Coronary Syndrome - surgery
Aged
Analysis
Australia - epidemiology
Bivalirudin
Cardiac patients
Care and treatment
Catheterization, Peripheral - adverse effects
Catheterization, Peripheral - methods
Catheterization, Peripheral - statistics & numerical data
Coronary artery bypass
Coronary heart disease
Female
Femoral Artery - surgery
Health aspects
Humans
Male
Medical research
Medicine, Experimental
Middle Aged
Outcome and Process Assessment, Health Care
Percutaneous Coronary Intervention - adverse effects
Percutaneous Coronary Intervention - methods
Percutaneous Coronary Intervention - statistics & numerical data
Postoperative Complications - epidemiology
Postoperative Complications - therapy
Radial Artery - surgery
Retrospective Studies
Survival Analysis
Transluminal angioplasty
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Summary:Objectives. The aim of this study was to evaluate the outcomes of acute coronary syndrome (ACS) patients undergoing percutaneous coronary intervention (PCI) via transradial artery access (TRA) or transfemoral artery access (TFA). Background. Over the last decade, evidence for the benefit of TRA for PCI has grown, leading to a steady uptake of TRA around the world. Despite this, the topic remains controversial with contrary evidence to suggest no significant benefit over TFA. Methods. A retrospective study of consecutive ACS patients from 2011 to 2017 who underwent PCI via TRA or TFA. The primary outcome was Major Adverse Cardiovascular Events (MACE), a composite of death, myocardial infarction (MI), target lesion revascularisation (TLR), or coronary artery bypass graft surgery (CABG) at 12 months. Secondary outcomes included Bleeding Academic Research Consortium (BARC) bleeding events scored 2 or higher, haematoma formation, and stent thrombosis, in addition to all individual components of MACE. Results. We treated 3624 patients (77% male), with PCI via TFA (n = 2391) or TRA (n = 1233). Transradial artery access was associated with a reduction in mortality (3% vs 6.3%; p
ISSN:0896-4327
1540-8183
1540-8183
DOI:10.1155/2020/4397697