Complications of Radial vs Femoral Access for Coronary Angiography and Intervention: What Do the Data Tell Us?

Krittanawong, Chayakrit; Uppalapati, Lakshmi; Virk, Hafeez Ul Hassan; Qadeer, Yusuf Kamran; Irshad, Umer; Wang, Zhen; Sharma, Samin; Jneid, Hani

doi:10.1016/j.amjmed.2024.02.022

The American Journal of Medicine

2024

DOI: 10.1016/j.amjmed.2024.02.022

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Complications of Radial vs Femoral Access for Coronary Angiography and Intervention: What Do the Data Tell Us?

Chayakrit Krittanawong,

Lakshmi Uppalapati,

Hafeez Ul Hassan Virk

et al.

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2024

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Cited by 3 publications

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Pro: Is the Radial Artery the Ideal Location for Invasive Blood Pressure Monitoring In Cardiac Surgery?

Ma,

Ryu,

Awad

et al. 2024

Journal of Cardiothoracic and Vascular Anesthesia

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Pro: Is the Radial Artery the Ideal Location for Invasive Blood Pressure Monitoring In Cardiac Surgery?

Ma,

Ryu,

Awad

et al. 2024

Journal of Cardiothoracic and Vascular Anesthesia

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Prevalence, trends, and outcomes of same-day discharge following elective percutaneous coronary intervention: a retrospective observational cohort study using routinely collected health data

Chen,

Smith,

et al. 2024

European Journal of Cardiovascular Nursing

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Aims To identify the prevalence, trends, and outcomes of same-day discharge following elective percutaneous coronary intervention among six public hospitals in one Australian State. Methods and results A retrospective observational research design was used. A total of 4387 cases were obtained from the State Cardiac Outcomes Registry and National Hospital Cost Data Collection. The two datasets were linked using identifiable data items. Patients were those who had elective percutaneous coronary intervention between December 2012 and December 2019 either discharged the same day of the procedure or the next day. Data were analysed using descriptive and inferential statistics. The overall same-day discharge prevalence was 6.5%, with a trend increasing from 0.2% in 2013 to 9.0% in 2019. The prevalence varied at the individual hospital level. Two hospitals did not perform same-day discharge during the study period. The remaining hospitals demonstrated variability in same-day discharge prevalence, with the highest from one hospital being 28.2% in 2019. Almost all same-day discharge patients experienced no complications during or following percutaneous coronary intervention within 24 hours. Compared to next-day discharge, same-day discharge reduced the length of stay by 18 hours and conferred an average of $3695 cost-savings per patient. Conclusions There was limited implementation of same-day discharge in the six public hospitals contributing data to this study. Improvement in the same-day discharge rate could result in better hospital resource utilisation and reduce low-value care. Hence, strategies to implement and promote same-day discharge are warranted.

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Complications Associated with Transradial Access in Coronary Angiography and Intervention

Fahad Khalid,

Bakht Umar Khan,

Nayyar Arif

2024

IJBR

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Objectives: The study's goal is to compare distal and traditional methods in order to investigate the complications related to transradial access in coronary angiography and intervention. Materials and Methods: This study was conducted at the Department of Cardiology, AFIC, Rawalpindi, Pakistan in the period from January 2022 to December 2023 in patients with the age of 18 years and more who underwent coronary angiography or percutaneous coronary intervention via radial artery. Inclusion required the participant to sign an informed consent form and for data capture a complete record review. Results: The study conducted among 300 patients showed that the complication rate of the procedure was 10%. In particular, there was a significant and highly statistically significant difference to complications where distal transradial intervention had a rate of 5% and conventional approach had 15%. The most frequent complication documented was radial artery spasm which was managed using appropriate medications. Conclusion: Transradial access for coronary procedures are safe particularly with the distal located access which can potentially add more value to the improvement of the patient. These studies underscore the importance of technical improvement involving general and procedural aspects of care to prevent complications during cardiology procedures.

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Complications of Radial vs Femoral Access for Coronary Angiography and Intervention: What Do the Data Tell Us?

Cited by 3 publications

References 13 publications

Pro: Is the Radial Artery the Ideal Location for Invasive Blood Pressure Monitoring In Cardiac Surgery?

Pro: Is the Radial Artery the Ideal Location for Invasive Blood Pressure Monitoring In Cardiac Surgery?

Prevalence, trends, and outcomes of same-day discharge following elective percutaneous coronary intervention: a retrospective observational cohort study using routinely collected health data

Complications Associated with Transradial Access in Coronary Angiography and Intervention

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