Cor Vasa 2002, 43(11):451-454
Transradial PTCA in the routine operation of a catheterization lab-the first 100 patients
- Kardiocentrum, Nemocnice Podlesí, Třinec, Česká republika
Aim of study:
Inclusion of the transradial approach into the routine operation of a catheterization laboratory. Comparison of the transradial and femoral approaches to elective angioplasty (PTCA).
Method:
Prospective follow-up of patients treated in the catheterization laboratory of our center from January through September 2001.
Results:
The transradial approach was comparable with the femoral approach in terms of the success rate of PTCA (100 vs. 97%, NS); comparable fluoroscopy times were also required to perform the procedure (10.7 vs. 10.9 min, NS). The radial approach is associated with short hospitalization times (53.6 vs. 21.3 hrs, p > 0.001), marked reduction in serious local bleeding complications (0 vs. 1.4%, p = 0.02) and a reduced incidence of arterial pseudoaneurysm (0 vs. 1.1%, p = 0.04). The transradial approach was unfeasible in 6 cases (6%), and post-procedural loss of radial artery pulsation occurred in 2 patients. Overall, 99% of patients thought the radial approach was more convenient.
Conclusion:
The radial approach to coronary angioplasty is a safe method, convenient to the patient, and helping reduce the incidence of local PTCA-related complications and shorten hospitalization time.
Keywords: Transradial PTCA; Catheter-based approach
Published: November 1, 2002 Show citation