Comparison of radial versus femoral access using hemostatic devices following percutaneous coronary intervention

Arterial access site complications are the important predictor of successful percutaneous coronary interventions (PCI). We prospectively studied 722 consecutive PCI patients for access site complications. A total of 303 trans-femoral access (TFA) patients who had suture based vascular closure device...

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Autores principales: Rana, Naresh, Vijayvergiya, Rajesh, Kasinadhuni, Ganesh, Khanal, Suraj, Panda, Prashant
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Research Brief
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8322813/
https://www.ncbi.nlm.nih.gov/pubmed/34154763
http://dx.doi.org/10.1016/j.ihj.2021.04.006
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author Rana, Naresh
Vijayvergiya, Rajesh
Kasinadhuni, Ganesh
Khanal, Suraj
Panda, Prashant
author_facet Rana, Naresh
Vijayvergiya, Rajesh
Kasinadhuni, Ganesh
Khanal, Suraj
Panda, Prashant
author_sort Rana, Naresh
collection PubMed
description Arterial access site complications are the important predictor of successful percutaneous coronary interventions (PCI). We prospectively studied 722 consecutive PCI patients for access site complications. A total of 303 trans-femoral access (TFA) patients who had suture based vascular closure devices (VCD) were compared with 419 transradial access (TRA) patients. Incidence of hematoma was more in TFA (2.3% vs 0.23%, p 0.01). Median ambulation time (4 h vs 1 h, p < 0.01) was significantly higher in TFA. In conclusion, TRA had fewer access site complications like haematoma, compared to TFA with VCD. TRA also resulted in earlier ambulation and discharge, compared to TFA with VCD.
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spelling pubmed-83228132021-07-31 Comparison of radial versus femoral access using hemostatic devices following percutaneous coronary intervention Rana, Naresh Vijayvergiya, Rajesh Kasinadhuni, Ganesh Khanal, Suraj Panda, Prashant Indian Heart J Research Brief Arterial access site complications are the important predictor of successful percutaneous coronary interventions (PCI). We prospectively studied 722 consecutive PCI patients for access site complications. A total of 303 trans-femoral access (TFA) patients who had suture based vascular closure devices (VCD) were compared with 419 transradial access (TRA) patients. Incidence of hematoma was more in TFA (2.3% vs 0.23%, p 0.01). Median ambulation time (4 h vs 1 h, p < 0.01) was significantly higher in TFA. In conclusion, TRA had fewer access site complications like haematoma, compared to TFA with VCD. TRA also resulted in earlier ambulation and discharge, compared to TFA with VCD. Elsevier 2021 2021-05-04 /pmc/articles/PMC8322813/ /pubmed/34154763 http://dx.doi.org/10.1016/j.ihj.2021.04.006 Text en © 2021 Cardiological Society of India. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Brief
Rana, Naresh
Vijayvergiya, Rajesh
Kasinadhuni, Ganesh
Khanal, Suraj
Panda, Prashant
Comparison of radial versus femoral access using hemostatic devices following percutaneous coronary intervention
title Comparison of radial versus femoral access using hemostatic devices following percutaneous coronary intervention
title_full Comparison of radial versus femoral access using hemostatic devices following percutaneous coronary intervention
title_fullStr Comparison of radial versus femoral access using hemostatic devices following percutaneous coronary intervention
title_full_unstemmed Comparison of radial versus femoral access using hemostatic devices following percutaneous coronary intervention
title_short Comparison of radial versus femoral access using hemostatic devices following percutaneous coronary intervention
title_sort comparison of radial versus femoral access using hemostatic devices following percutaneous coronary intervention
topic Research Brief
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8322813/
https://www.ncbi.nlm.nih.gov/pubmed/34154763
http://dx.doi.org/10.1016/j.ihj.2021.04.006
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