Saphenous vein graft percutaneous coronary intervention via radial artery access: Safe and effective with reduced hospital length of stay

Bundhoo, Shantu; Earp, Eleanor; Ivanauskiene, Taida; Kunadian, Vijay; Freeman, Phillip; Edwards, Richard; Kinnaird, Tim; Zaman, Azfar; Anderson, Richard

doi:10.1016/j.ahj.2012.07.029

Cited by 29 publications

(20 citation statements)

References 12 publications

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“…It is interesting to note that some previous studies have demonstrated higher fl uoroscopy times and radiation exposure with transradial access compared to transfemoral access. Even within the current analysis there were three studies that demonstrated this, although in the pooled analysis there was no statistically signifi cant difference [9,10,13].…”

Section: Discussionmentioning

confidence: 93%

“…There were a total of 1,370 patients across these studies with 583 undergone CABG angiography via transradial access and 787 undergone CABG angiography via transfemoral access. Six of these studies were observational and one was a randomized control trial (9)(10)(11)(12)(13)(14)(15). Study quality and bias analysis are depicted in tables 1,2.…”

Section: Resultsmentioning

confidence: 99%

“…There have been a few observational studies and a single randomized trial conducted to help evaluate transradial access for angiography in those having previously undergone CABG [9][10][11][12][13][14][15]. The aim of this study was to provide a pooled analysis of all currently available studies in order to better characterize the utility of transradial access for PCI in those with a history of CABG.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of Transradial and Transfemoral Access for Coronary Bypass Graft Angiography

Loomba¹,

Saurabh²,

Navdeep³

et al. 2017

Ann Circ

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Introduction: Transradial access has been shown to be safe and effective in the setting of percutaneous coronary intervention (PCI) and even being benefi cial in regards to vascular complications and perceived quality of life after the intervention. However, data is limited in patients having previously undergone coronary artery bypass grafting (CABG) where procedural complexity can be increased. Methods:Studies comparing transradial and transfemoral access for PCI in patients having undergone CABG were identifi ed. Data for similar endpoints was extracted for subsequent meta-analysis. Bias and heterogeneity were also assessed. Conclusions:Transradial access for PCI in patients with prior CABG is safe, with fewer vascular complications, and offers an effective and potentially favorable alternative to transfemoral access. Condensed abstract:Transradial access has been demonstrated to offer benefi ts in comparison to transfemoral access for percutaneous coronary intervention (PCI). This advantage has not been fully elucidated for PCI of coronary artery bypass grafts (CABG). A meta-analysis was conducted to study the two access options and found that transradial access for PCI of CABG grafts is safe and may in fact be associated with fewer vascular complications.

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Section: Discussionmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of Transradial and Transfemoral Access for Coronary Bypass Graft Angiography

Loomba¹,

Saurabh²,

Navdeep³

et al. 2017

Ann Circ

View full text Add to dashboard Cite

show abstract

“…It is interesting to speculate that with increasing expertise and experience some of the planned access via the femoral artery could be undertaken via radial access. Indeed we have demonstrated that saphenous vein graft PCI can be safely and effectively performed via radial artery access and that radial access was associated with decreased hospital stay and arterial complications in comparison to femoral access . Shock is also a clinical scenario where with increasing expertise PCI can be reliably carried out via the radial artery .…”

Section: Discussionmentioning

confidence: 96%

“…Indeed we have demonstrated that saphenous vein graft PCI can be safely and effectively performed via radial artery access and that radial access was associated with decreased hospital stay and arterial complications in comparison to femoral access. 17 Shock is also a clinical scenario where with increasing expertise PCI can be reliably carried out via the radial artery. 18 Additionally, with further development of the interventional kit including sheathless guides and downsizing, a further reduction in femoral artery puncture rates could be facilitated.…”

Section: Discussionmentioning

confidence: 99%