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Clinical impact of the switch from femoral to radial approach for coronary intervention: a single-center experience

O Aldalati, K Kallas, H Nashat, S Khalil & A Ionescu

Aim: To evaluate the safety profile during a 3-year transition from default transfemoral access to default transradial access (TRA) for percutaneous coronary interventi ns in a tertiary cardiac center. Methods: Data were collected from electronic databases n all percutaneous coronary interventions from 2007 to 2009. Results: Two th usand eight hundred and forty-five procedures were recorded. TRA increased fr m 36 to 58% of procedures over the study period. Postprocedure blood transfusi n equirements, incidence of hematoma and hospital length of stay were less am ng TRA cases. Fluoroscopy time, procedure time and mortality were similar in both g ups. Access site crossover was higher among TRA cases but not prohibitive. Conclusion: T ansitioning from a default transfemoral access to TRA unit was not associated with an adverse clinical or safety profile.