Soonchunhyang Med Sci.  2012 Dec;18(2):81-84.

Comparison of the Efficacy and Safety between Transradial and Transfemoral Percutaneous Coronary Intervention in Patients with Ischemic Heart Disease

• Kong MG
• Ju HY
• Yeum SC
• Choo JW
• Seo DC
• Moon IK
• Kim JN
• Jung HE
• Cho YJ
• Park BW
• Chung JW
• Bang DW
• Hyon MS

Abstract

OBJECTIVE
The aim of this study was to evaluate the efficacy and safety of transradial percutaneous coronary intervention (TRI) compared with transfemoral percutaneous coronary intervention (TFI) in patients with ischemic heart disease.
METHODS
We reviewed retrospectively the medical records including imaging data of the patients with ischemic heart disease who underwent TRI or TFI from January 2007 to December 2009 in Soonchunhyang University Seoul Hospital. We compared major adverse cardiac and cerebrovascular events (MACCEs) including death, myocardial infarction, revascularization, stent thrombosis, and cerebrovascular accident during follow-up period. We also compared procedure related vascular complications including hematoma, arteriovenous fistula, pseudoaneurysm, and infection.
RESULTS
Total number of patients was 347 (256 patients of TRI and 91 patients of TFI). There were no significant differences in the rate of MACCEs between two groups. There were significantly less procedure-related vascular complications in TRI group (3.1% vs. 11.0%, P=0.010).
CONCLUSION
TRI is as effective as TFI with no difference in the rate of MACCEs in patients with ischemic heart disease. TRI is superior to TFI in safety with reduction of vascular complications.

Keyword

Radial artery; Femoral artery; Coronary artery disease; Complications

MeSH Terms

Aneurysm, False
Arteriovenous Fistula
Coronary Artery Disease
Femoral Artery
Follow-Up Studies
Heart
Hematoma
Humans
Medical Records
Myocardial Infarction
Myocardial Ischemia
Percutaneous Coronary Intervention
Radial Artery
Retrospective Studies
Stents
Stroke
Thrombosis