ArticleRadial Vs Femoral Approach for Coronary Angiography. A Retrospective Study at Beirut General University Hospital from January to December 2014.
Chaddad Rima* , Abou Saleh Ali , Dandach Louay , Pr. Chalak Wael ,
Objectives: This study was conducted to evaluate the differences in the procedural variables between transradial and transfemoral access for coronary angiography and to determine the efficacy and safety of the radial access comparing to femoral. Subjects and Methods: This was a retrospective study of 210 radial and 189 femoral accesses, diagnostic and therapeutic cardiac catheterization procedures done on patients who were admitted to Beirut General University Hospital in 2014. Medical records of these patients were then analyzed, the reason for coronary intervention was noted for every patient, and the past medical history is reviewed. The course of stay in the hospital was analyzed by reviewing the progress notes to assess if the patient developed any complication or mortality during the period of hospitalization. Results: The radial approach had significantly lesser access site complications 6.7% vs. 14.8% in the femoral approach with a p value of 0.009, and less MACE comparing to the femoral access (0.5% vs. 2.1% respectively) with a p value of 0.194. The one day admission is more seen in the radial approach 68.6%vs 43.9% in the femoral approach with significant p value (p
Cardiac catheterization, femoral access, radial access, bleeding, vascular complications.