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Related Experiment Videos

PTCA using the right radial artery access site.

J T Mann1, M Arrowood, G Cubeddu

  • 1Wake Heart Center, Raleigh, North Carolina, USA.

The Journal of Invasive Cardiology
|May 8, 1995
PubMed
Summary
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The right radial artery approach for percutaneous coronary intervention (PCI) is as effective as the right femoral artery approach, with fewer access site complications and shorter hospital stays. This leads to reduced overall hospital charges for patients undergoing PCI.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Access

Background:

  • Percutaneous coronary intervention (PCI) is a common procedure for treating coronary artery disease.
  • Vascular access is a critical component of PCI procedures, with potential for complications.
  • The right radial artery approach (RRA) is an alternative to the traditional right femoral artery approach (RFA).

Purpose of the Study:

  • To evaluate the efficacy and safety of the right radial artery approach (RRA) for percutaneous coronary intervention (PCI).
  • To compare access site complications, procedural outcomes, and hospital stay between RRA and RFA for PCI.

Main Methods:

  • A retrospective evaluation of the first 50 patients undergoing PCI via RRA.
  • Comparison of outcomes with a historical cohort of 100 patients who underwent PCI via RFA.

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  • Data collected included procedural details, access site complications, fluoroscopy time, contrast utilization, success rates, and length of stay.

    • Main Results:

    • No access site complications were observed in the RRA group (0/50) compared to the RFA group (4/100, p < .02).
    • Procedural success rates, time, contrast, and fluoroscopy were similar between RRA and RFA groups.
    • Patients undergoing RRA had significantly shorter post-PCI length of stay (1.9 vs. 3.4 days, p < .05) and total hospital length of stay (3.7 vs. 5.2 days, p < .05).

    Conclusions:

    • PCI performed via the right radial artery approach yields similar procedural outcomes to the right femoral artery approach.
    • RRA significantly reduces access site complications compared to RFA.
    • Shorter hospital stays associated with RRA lead to reduced overall hospital charges.