Incidence, Determinants, and Outcomes of Left and Right Radial Access Use in Patients Undergoing Percutaneous Coronary Intervention in the United Kingdom: A National Perspective Using the BCIS Dataset

JACC. Cardiovascular Interventions
Muhammad RashidMamas A Mamas

Abstract

The authors sought to determine the relationships between left radial access (LRA) or right radial access (RRA) and clinical outcomes using the British Cardiovascular Intervention Society (BCIS) database. LRA has been shown to offer procedural advantages over RRA in percutaneous coronary intervention (PCI) although few data exist from a national perspective around its use and association with clinical outcomes. The authors investigated the relationship between use of LRA or RRA and clinical outcomes of in-hospital or 30-day mortality, major adverse cardiovascular events (MACE), in-hospital stroke, and major bleeding complications in patients undergoing PCI between 2007 and 2014. Of 342,806 cases identified, 328,495 (96%) were RRA and 14,311 (4%) were LRA. Use of LRA increased from 3.2% to 4.6% from 2007 to 2014. In patients undergoing a repeat PCI procedure, the use of RRA dropped to 72% at the second procedure and was even lower in females (65%) and patients >75 years of age (70%). Use of LRA (compared with RRA) was not associated with significant differences in in-hospital mortality (odds ratio [OR]: 1.19, 95% confidence interval [CI]: 0.90 to 1.57; p = 0.20), 30-day mortality (OR: 1.17, 95% CI: 0.93 to 1.74; p = 0.16), MACE ...Continue Reading

Citations

Sep 18, 2018·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Jun-Won LeeSeung-Hwan Lee
Dec 14, 2018·Circulation. Cardiovascular Interventions·Satoshi ShojiKeiichi Fukuda
Apr 16, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Akash Kataruka, Larry S Dean
Sep 3, 2020·Circulation. Cardiovascular Interventions·Ahmad ShoaibUNKNOWN British Cardiovascular Intervention Society (BCIS) and the National Institute for Cardiovascular Outcomes Research (NICOR)
Jan 16, 2021·Journal of Neuroradiology. Journal De Neuroradiologie·Cyril ChivotThierry Yzet
Jun 9, 2020·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Ian C Gilchrist, Sumeet K Lall
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Dec 17, 2020·Cardiology·João Ferreira-Martins, Pitt O Lim

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