Radial Catheterization Advantages
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Associate Editor-In-Chief: Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.
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Advantages of the Radial Approach to Cardiac Catheterization
- Reduced bleeding
- Early patient ambulation[1]
- Greater patient satisfaction
- Absence of retroperitoneal hematomas, femoral pseudo aneurysms, arteriovenous fistulas
- Reduced length of stay[1]
- Improved access in the obese patient
- Dual blood supply which limits the potential for limb threatening ischemia
- Advantageous for patients with severe occlusive aortoiliac disease
- Advantageous for patients with back pain, obesity, congestive heart failure who have difficulty laying flat on back.
- Less likelihood of local nerve injury
- Radial artery is easily compressible
In a meta-analysis of publications from 1980 to 2008, radial artery catheterization was associated with a 73% relative risk reduction in the risk of major bleeding (2.3% vs 0.05%, p<0.001) compared to femoral access. While the risk of the composite endpoint of death, myocardial infarction (MI) and stroke tended to be less frequent among patients undergoing radial artery catheterization (3.8% vs 2.5%, p = .058), there was no difference in mortality alone. Radial artery access also was associated with a 0.4% reduction in length of stay (p=0.001).[2]
References
- ↑ 1.0 1.1 Suleiman K, Feldman A, Ilan-Bushari L, Turgeman Y (2008). "[Transradial diagnostic and interventional cardiac catheterization in daily practice: advantages, efficacy and safety]". Harefuah. 147 (5): 388–93, 479. PMID 18770958.
- ↑ Jolly SS, Amlani S, Hamon M, Yusuf S, Mehta SR (2009). "Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials". American Heart Journal. 157 (1): 132–40. doi:10.1016/j.ahj.2008.08.023. PMID 19081409. Retrieved 2010-02-23. Unknown parameter
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