Document Detail


Radial versus femoral approach for high-speed rotational atherectomy.
MedLine Citation:
PMID:  19434605     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim of this study was to compare in-hospital outcomes for patients undergoing high-speed rotational atherectomy (HSRA) via the radial and femoral route. BACKGROUND: Transradial access is often avoided for HSRA because of concern over limitations on guide catheter size. No studies have compared a radial and femoral approach for HSRA. METHODS: This is a retrospective comparison of in-hospital outcomes for 151 consecutive patients (75 radial, 76 femoral) undergoing HSRA. RESULTS: Significantly smaller diameter guide catheters (6.3 +/- 0.5 Fr vs. 7.1 +/- 0.8 Fr, P < 0.001) and burrs (1.6 +/- 0.2 mm vs. 1.7 +/- 0.2 mm, P = 0.02) were used in the radial compared with the femoral group. Procedural success (93.3% vs. 94.7%, P = 0.75), procedure time (108.7 +/- 30.5 min vs. 112.8 +/- 35.0 min, P = 0.45), and patient radiation exposure (12125 +/- 8373 vs. 12118 +/- 7831 cGy cm(2), P = 1.00) were similar in radial and femoral groups. There was a trend in favor of radial artery access for major access site bleeding complications (0.0% vs. 5.3%, P = 0.12). The incidence of in-hospital death or myocardial infarction was low in both groups. CONCLUSION: This study shows that radial artery access is a feasible, safe, and effective approach for HSRA. Overall complication rates are low and radial access may be associated with a lower risk of major bleeding complications compared with a femoral approach.
Authors:
Jonathan Watt; Keith G Oldroyd
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  74     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-05     Completed Date:  2009-12-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  550-4     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Western Infirmary, Glasgow G11 6NT, Scotland.
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MeSH Terms
Descriptor/Qualifier:
Aged
Atherectomy, Coronary / adverse effects,  instrumentation,  methods*,  mortality
Coronary Angiography
Coronary Artery Disease / mortality,  radiography,  therapy*
Equipment Design
Female
Femoral Artery*
Heart Catheterization / adverse effects,  instrumentation,  methods*,  mortality
Hemorrhage / etiology
Hospital Mortality
Humans
Male
Middle Aged
Myocardial Infarction / etiology
Radial Artery*
Retrospective Studies
Risk Assessment
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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