Open AccessTransradial Versus Transfemoral Carotid Artery Stenting: A 16‐Year Single‐Center Experience
Author(s) -
Mendiz Oscar A.,
Fava Carlos,
Lev Gustavo,
Caponi Gaspar,
Valdivieso León
Publication year - 2016
Publication title -
journal of interventional cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.764
H-Index - 51
eISSN - 1540-8183
pISSN - 0896-4327
DOI - 10.1111/joic.12342
Subject(s) - medicine , carotid endarterectomy , single center , incidence (geometry) , carotid stenting , complication , surgery , carotid arteries , radial artery , cardiology , artery , physics , optics
Aims Limited data exist on radial access in carotid artery stenting (CAS). This single‐center study was performed to compare the outcome and complication rates of transradial (TR) and transfemoral (TF) CAS. Methods and Results The clinical and angiographic data of 775 consecutive patients with high risk for carotid endarterectomy, treated between 1999 and 2016 by CAS with cerebral protection, were evaluated. Patients were divided into 2 groups according to vascular access: TR (n = 101; 13%) and TF (n = 674). Primary combined end‐point: in‐hospital major adverse cardiac and cerebral events. Secondary end‐points: angiographic outcome of the procedure and crossover rate to another puncture site. Angiographic success was achieved in all 775 patients, the crossover rate was 4.9% in the TR and 0% in the TF group (P < 0.05). TR was performed at the right side in 97% of cases. The incidence of in‐hospital major adverse cardiac and cerebral events was 2% in the TR and 3.6% in the TF group (P = ns). Conclusions The TR approach for CAS is safe and efficacious, with acceptable cross‐over rate. In both groups, vascular complications rarely occurred.