A comparison of radial and femoral access for cardiac catheterization.

Journal Article (Journal Article;Review)

Over the past several years, the transradial approach (TRA) for cardiac catheterization has become increasingly adopted in the United States. The increased utilization of the TRA is grounded on 2 decades of research, showing reduced bleeding and vascular complications to complement improved patient quality of life. However, the concern over cost, radiation exposure, and acknowledged "learning curve" has kept the transfemoral approach (TFA) the mainstay of most US catheterization laboratories. More recent larger multi-centered randomized studies have aimed to address outcomes and these concerns between the TR and TF approaches. This article will review the changing trends in TRA in the US, discuss clinical (bleeding and mortality) and non-clinical (quality of life and cost) outcomes from recent randomized studies, and finally discuss certain aspects when it comes to adopting TRA.

Full Text

Duke Authors

Cited Authors

  • Wagener, JF; Rao, SV

Published Date

  • November 2015

Published In

Volume / Issue

  • 25 / 8

Start / End Page

  • 707 - 713

PubMed ID

  • 25912254

Electronic International Standard Serial Number (EISSN)

  • 1873-2615

Digital Object Identifier (DOI)

  • 10.1016/j.tcm.2015.03.012


  • eng

Conference Location

  • United States