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Safety and feasibility of transradial approach for coronary bypass graft angiography and intervention
Hongya Han1, Yujie Zhou, Hanying Ma
1Department of Cardiology, Beijing Anzhen Hospital/Capital Medical University, Chao Yang, Beijing, China.
Insights
The transradial approach (TRA) is safe and feasible for coronary artery bypass graft (CABG) angiography and intervention. This method resulted in fewer vascular access complications and shorter hospital stays compared to the transfemoral approach.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Access
Background:
- The transradial approach (TRA) is widely used for coronary catheterization.
- Limited data exists on TRA safety and feasibility in patients with prior coronary artery bypass graft (CABG) surgery.
Purpose of the Study:
- To evaluate the safety and feasibility of TRA for coronary bypass graft angiography and intervention.
- To compare TRA with the transfemoral approach (TFA) in this patient population.
Main Methods:
- Retrospective evaluation of 124 consecutive patients undergoing graft angiography and intervention.
- Patients were divided into TRA group (n=68) and TFA group (n=56).
- Comparison of procedure time, success rates, adverse events, vascular access complications, and hospitalization duration.
Main Results:
- No significant differences in procedure time, puncture success, angiography, or intervention success between TRA and TFA groups.
- No significant difference in major adverse cardiac and cerebrovascular events.
- Significantly lower vascular access site complications and shorter hospitalization duration in the TRA group (P=.021 and P=.007, respectively).
Conclusions:
- Transradial approach is a safe and feasible option for coronary bypass graft angiography and intervention.
- TRA offers advantages in reduced vascular access complications and shorter hospital stays for patients with prior CABG surgery.
Abstract:
The transradial approach (TRA) is commonly applied for coronary catheterization. However, there are few reports on the safety and feasibility of transradial catheterization in patients with prior coronary artery bypass graft (CABG) surgery. We retrospectively evaluated 124 consecutive patients who underwent graft angiography and intervention via the transradial (TRA group, n = 68) or transfemoral approach (TFA group, n = 56). The baseline clinical characteristics between the 2 groups were similar except for prior myocardial infarction. No significant difference (P > .05)was observed in procedure time, the success rate of puncture, angiography, and intervention procedure between the 2 groups. There was no significant difference in major adverse cardiac and cerebrovascular events during hospitalization. However, the vascular access site complications were significantly lower (P = .021) and the duration of hospitalization was shorter (P = .007) in the TRA group. The TRA for coronary bypass graft angiography and intervention was safe and feasible.
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