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[Radial approach in women]
J Wintzer-Wehekind1, S Milouchi2, A Rouge1
1Service de cardiologie, groupe hospitalier mutualiste de Grenoble, 8, rue du Dr-Calmette, 38028 Grenoble cedex 1, France.
Annales De Cardiologie Et D'Angeiologie
|March 26, 2017
Summary
The radial approach for coronary angiography reduces bleeding risk and death in women compared to the femoral route, despite potential initial difficulties. This method is preferred for better patient outcomes.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
Background:
- The radial artery approach for coronary angiography has gained prominence since 1989.
- It is now the preferred method in many centers, accounting for up to 95% of procedures.
Purpose of the Study:
- To evaluate the benefits of the radial approach in women undergoing percutaneous coronary interventions (PCIs).
- To compare the radial approach with the femoral route regarding complication rates in female patients.
Main Methods:
- Review of clinical case data and registry information comparing radial and femoral approaches.
- Analysis of complication rates, focusing on bleeding events and mortality.
Main Results:
- The radial approach is underutilized in women compared to men.
- Despite potential technical challenges in women, the radial route significantly reduces bleeding complications.
- The radial approach is associated with lower rates of death compared to the femoral route.
Conclusions:
- The radial approach offers significant advantages for women undergoing coronary angiography and PCIs.
- Reduced hemorrhagic complications and mortality support the preference for the radial route over the femoral approach in women.