Korean Circ J.  2000 Jul;30(7):827-832. 10.4070/kcj.2000.30.7.827.

Trans-radial Coronary Stenting in two hospital : Comparison with Trans-femoral Approach

• Lee SG
• Cheong SS
• Shin JK
• Cheong JP
• Lee IS
• Han DH
• Kim JW
• Park JH

• KMID: 2227314
• DOI: http://doi.org/10.4070/kcj.2000.30.7.827

Abstract

BACKGROUND AND OBJECTIVES: The transradial approach for coronary intervention has a lower incidence of access site complications and can increase patient comfort after percutaneus tansluminal coronary angioplasty(PTCA). The purpose of this study is to compare procedural success and complication rates of percutaneous transradial coronary stenting which was performed by four operators in two hospitals with those using transfemoral approach. MATERIALS AND METHOD: From September 1998 to July 1999, one hundred seventy five consecutive patients(201 lesions) treated with coronary stent implantation were enrolled for this study : 84 patients underwent transradial coronary stenting(Radial Group), and 91 patients transfemoral coronary stenting(Femoral Group).
RESULTS
Seven patients who failed coronary cannulation via radial artery were crossed over to the Femoral Group. The measurements of the radial artery were not done. Patient demographics were similar in both groups. Procedural success was similar in both group(95.2% in Radial Group vs. 97.8% in Femoral Group, p=S). All transradial coronary stenting were possible using conventional guiding catheters which are used in transfemoral intervention. Local vascular complication rates showed a trend toward a reduction in the Radial Group(2.4% vs. 8.8%, p=.06).
CONCLUSION
This study showed the similarity in the safety and efficacy of transradial coronary stenting compared to those of transfemoral approach.

MeSH Terms

Catheterization
Catheters
Demography
Humans
Incidence
Radial Artery
Stents*