From Femoral to Radial Approach in Coronary Intervention

Since the first cardiac catheterization in 1929, this procedure has evolved considerably. Historically performed via the transfemoral access, in the last years, the transradial access has been spreading gradually due to its many advantages. We have conducted a review of published literature concerni...

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Bibliographic Details
Published in:Angiology 2017-04, Vol.68 (4), p.281-287
Main Authors: Bianchi, Renatomaria, D'Acierno, Ludovica, Crisci, Mario, Tartaglione, Donato, Cappelli Bigazzi, Maurizio, Canonico, Mario, Albanese, Michele, Gragnano, Felice, Fimiani, Fabio, Russo, Mariagiovanna, Cirillo, Plinio, Calabrò, Paolo
Format: Article
Language:English
Subjects:
Cardiac Catheterization - adverse effects
Cardiac Catheterization - methods
Coronary Angiography - adverse effects
Coronary Angiography - methods
Cost-Benefit Analysis
Female
Femoral Artery
Humans
Length of Stay
Male
Patient Safety
Radial Artery
Randomized Controlled Trials as Topic
Retrospective Studies
Treatment Outcome
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Summary:Since the first cardiac catheterization in 1929, this procedure has evolved considerably. Historically performed via the transfemoral access, in the last years, the transradial access has been spreading gradually due to its many advantages. We have conducted a review of published literature concerning efficacy, safety, and cost-effectiveness, and we analyzed our patients' data, including the results of the recently published Minimizing Adverse hemorrhagic events by TRansradial access site and systemic implementation of angioX (MATRIX) study. This review confirmed the superiority of the transradial access compared to the femoral access, especially regarding complications related to the access site, duration of hospitalization, and comfort for the patient. The transradial approach is an excellent option for coronary angiography, and the procedure's risks are reduced by increased operator experience.
ISSN:1940-1574
DOI:10.1177/0003319716656714