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Cardiovascular Medicine
Volume 18
Issue 5
10.4414/cvm.2015.00332
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Cardiovascular Medicine is published by MDPI from Volume 28 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Editores Medicorum Helveticorum (EMH).
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Article

Switching from Femoral to Radial Access for Coronary Angiography in ACS

by
Ivano Reho
,
Martin Sprenger
,
David Tueller
,
Britta Bottignole
,
David J. Kurz
,
Alain Bernheim
,
Franz Robert Eberli
and
Rainer Zbinden
*
Department of Cardiology, Triemlispital Zurich, 8063 Zurich, Switzerland
*
Author to whom correspondence should be addressed.
Cardiovasc. Med. 2015, 18(5), 169; https://doi.org/10.4414/cvm.2015.00332
Submission received: 27 February 2015 / Revised: 27 March 2015 / Accepted: 27 April 2015 / Published: 27 May 2015
Versions Notes

Abstract

Background: Transradial access (TRA) for coronary angiography (CA) is thought to be superior to the transfemoral approach (TFA) in patients presenting with an acute coronary syndrome (ACS) regarding access site complications and bleeding events. As an institution that primarily uses TFA for CA, we switched to TRA during the year 2012. The aim of this study was to look for differences in bleeding events, procedure times, contrast use in ACS patients and door-to-balloon (dtb) times in STEMI patients comparing the TRA and TFA, respectively. Methods/results: A total of 789 ACS patients underwent CA in 2012. Of these, 502 patients had the TFA and 287 patients the TRA for CA. The overall bleeding rate was 14.1% for TFA and 5.3% for TRA (p < 0.01) using the BARC (bleeding academic research consortium) criteria. Access siterelated bleeding events were 10.5% in the TFA group and 3.9% in the TRA group (p = 0.01). There were no differences regarding procedure times or contrast use between the two groups. In a multivariate analysis, gender, age, Gp IIb/IIIa use and access site were independent predictors of bleeding events. Of the 789 patients, 428 were STEMI patients. Dtb time was 106 ± 100 min (including transfer patients). There was no difference regarding dtb time between the TRA and the TFA group. Conclusion: For experienced “femoral operators”, a switch to the radial access site is feasible and safe. There is no increase in dtb time, fluoroscopy time or contrast use, but a significant decrease in bleeding events with the radial approach in patients presenting with ACS.
Keywords: radial access; acute coronary syndrome; access site bleeding; bleeding risk; door-to-balloon time radial access; acute coronary syndrome; access site bleeding; bleeding risk; door-to-balloon time

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MDPI and ACS Style

Reho, I.; Sprenger, M.; Tueller, D.; Bottignole, B.; Kurz, D.J.; Bernheim, A.; Eberli, F.R.; Zbinden, R. Switching from Femoral to Radial Access for Coronary Angiography in ACS. Cardiovasc. Med. 2015, 18, 169. https://doi.org/10.4414/cvm.2015.00332

AMA Style

Reho I, Sprenger M, Tueller D, Bottignole B, Kurz DJ, Bernheim A, Eberli FR, Zbinden R. Switching from Femoral to Radial Access for Coronary Angiography in ACS. Cardiovascular Medicine. 2015; 18(5):169. https://doi.org/10.4414/cvm.2015.00332

Chicago/Turabian Style

Reho, Ivano, Martin Sprenger, David Tueller, Britta Bottignole, David J. Kurz, Alain Bernheim, Franz Robert Eberli, and Rainer Zbinden. 2015. "Switching from Femoral to Radial Access for Coronary Angiography in ACS" Cardiovascular Medicine 18, no. 5: 169. https://doi.org/10.4414/cvm.2015.00332

APA Style

Reho, I., Sprenger, M., Tueller, D., Bottignole, B., Kurz, D. J., Bernheim, A., Eberli, F. R., & Zbinden, R. (2015). Switching from Femoral to Radial Access for Coronary Angiography in ACS. Cardiovascular Medicine, 18(5), 169. https://doi.org/10.4414/cvm.2015.00332

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