Impact of Type of Access Site on Procedural Outcomes of Percutaneous Coronary Intervention in an Urban Center

Document Type

Conference Proceeding

Publication Date

5-2025

Publication Title

Journal of the Society for Cardiovascular Angiography and Interventions

Abstract

Background: Radial access has been suggested to offer potential advantages over femoral access, particularly in terms of procedural efficiency and patient safety, but further investigation is needed to validate these claims. Methods: An observational study in a single urban center was conducted to compare procedural outcomes of PCI with radial and femoral approach. Baseline characteristics were compared. Univariate linear and logistic regression analyses were performed to assess procedural outcomes. Results: Out of 2,141 patients, 75.76% had femoral access and 24.24% had radial access. Femoral group had a higher percentage of patients with a history of cardiogenic shock (89.4% vs. 10.53%) (p = 0.01), and COPD (79.92% vs. 20.08%) (p = 0.01) compared to the radial group. Adjusted analyses revealed reduction in procedure times (aOR= -10.22 minutes, p ¼ 0.012) and fluoroscopy times (aOR= -2.03 seconds, p = 0.018) for the radial approach. No significant differences were found in contrast volume or contrast waste. Conclusions: Radial access demonstrates advantages in procedural efficiency to femoral access, with a notable reduction in procedure time and fluoroscopy time supporting the growing preference for radial access in PCI. However, the clinical importance of this time reduction should be evaluated in the context of patient outcomes and operator experience.

Volume

4

Issue

5 Suppl

First Page

27

Comments

Society for Cardiovascular Angiography and Interventions SCAI 48th Annual Scientific Sessions, May 1-3, 2025, Washington, DC

Last Page

27

DOI

10.1016/j.jscai.2025.103187

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