Safety and feasibility of transradial access for percutaneous coronary intervention in chronic total occlusions.
Rev Esp Cardiol (Engl Ed)
; 76(4): 253-260, 2023 Apr.
Article
em En, Es
| MEDLINE
| ID: mdl-35691552
ABSTRACT
INTRODUCTION AND OBJECTIVES:
Transfemoral access is the most frequently used vascular approach in chronic total occlusion percutaneous coronary interventions (CTO-PCI). The aim of this study was to evaluate the safety and feasibility of a transradial access CTO-PCI program and its impact on angiographic and clinical results and length of hospital stay.METHODS:
Retrospective multicenter cohort study including 2550 consecutive CTO-PCI procedures included in a multicenter registry with accurate information on vascular access. A total of 896 procedures were performed as radial-only access while 1654 were performed through at least 1 femoral puncture. Clinical and angiographic data were collected.RESULTS:
The mean age was 66.3± 11.4 years. The mean Japan-chronic total occlusion score (2.7±0.3) was similar in the 2 groups. Successful revascularization was achieved in 2009 (79.6%) cases, 78.2% and 82.1% in the femoral and radial access cohorts, respectively (P=.002). Periprocedural in-hospital complications were observed in 5.1% and 2.3% (P=.02), with fewer access site-dependant vascular complications in the transradial cohort (2.3% vs 0.2%; P=.009). The mean length of hospital stay was significantly shorter in the transradial access group (0.89±1.4 vs 2.2±3.2 days, P<.001).CONCLUSIONS:
A transradial program for CTO-PCI is safe and effective in most CTO lesions. The transradial strategy has fewer vascular complications and shorter length of hospital stay without compromising the success rate.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Doenças Cardiovasculares
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Oclusão Coronária
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Intervenção Coronária Percutânea
Tipo de estudo:
Clinical_trials
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Observational_studies
Limite:
Aged
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Humans
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Middle aged
Idioma:
En
/
Es
Ano de publicação:
2023
Tipo de documento:
Article