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
Language
- eng
Conference Location
- United States