Open AccessTransradial Access in Coronary Angiography: A Study of its Safety and Efficacy in Comparison to Transfemoral Access
Author(s) -
Abu Yousuf Md Shahidul Alam,
Syed Asif Iqbal,
Afm Shamsul Haque,
Syeda Aleya Sultana,
Mohammad Abdul Malek,
Md Wali ur Rahman
Publication year - 2022
Publication title -
journal of bangladesh college of physicians and surgeons/journal of bangladesh college of physicians and surgeons
Language(s) - English
Resource type - Journals
eISSN - 2309-6365
pISSN - 1015-0870
DOI - 10.3329/jbcps.v40i2.58689
Subject(s) - medicine , coronary angiography , fluoroscopy , hematoma , bleed , vascular access , ecchymosis , angiography , surgery , venous access , radiology , cardiology , hemodialysis , catheter , myocardial infarction
Coronary angiography is traditionally performed through transfemoral access. Transradial access is increasingly being used for this purpose for its various advantages. However, its use in Bangladesh is less well studied. The aim of this study was to find out the safety and efficacy of transradial access as compared to transfemoral access.Methods: This was a single-center, cross-sectional study. 100 randomly selected elective coronary angiography from August 2017 to September 2018 by the same operator using either transradial access or transfemoral access were analyzed.Results: Among 100 coronary angiography, transradial access were 50 and transfemoral access were 50. Fluoroscopy time was 3.08[1-9] vs 1.47 [1-17] minutes (p=.014), dose area product was 4807 [1947-11489] vs 3202 [1130-12826] ìGy.m2 (P<0.001), total dose was 788 [276-2055] vs 520 [158-2424] mGy (p<0.001). Transradial failure occurred in 4 (8%) cases. Transfemoral failure occurred in 1 (2%) case. There was no significant difference in failure rate between the groups (p= 0.169). Ecchymosis was the commonest (10% in transradial access vs 22% in transfemoral access, p= 0.102) among post procedure complications. Other complications like thrombophlebitis (6% vs 18%, p=0.004); hematoma (0% vs 12%, p= 0.005); puncture site bleed (2% vs 4%, p= 0. 039) were seen in TRA and transfemoral access, respectively.Conclusion: Access site complications are more in transfemoral access. Transradial access is an effective alternative to transfemoral access, and it can be performed safely by experienced operators.J Bangladesh Coll Phys Surg 2022; 40: 93-98