Predictors of Conversion from Radial Into Femoral Access in Cardiac Catheterization

Arquivos brasileiros de cardiologia
Maria Salomé CarvalhoManuel Almeida

Abstract

Fewer bleeding complications and early ambulation make radial access a privileged route for cardiac catheterization. However, transradial (TR) approach is not always successful, requiring its conversion into femoral access. To evaluate the rate of conversion from radial into femoral access in cardiac catheterization and to identify its predictors. Prospective dual-center registry, including 7632 consecutive patients undergoing catheterization via the radial access between Jan/2009 and Oct/2012. We evaluated the incidence of conversion into femoral access and its predictors by logistic regression analysis. The patients' mean age was 66 ± 11 years, and 32% were women. A total of 2969 procedures (38.4%) were percutaneous coronary interventions (PCI), and the most used first intention arterial access was the right radial artery (97.6%). Radial access failure rate was 5.8%. Independent predictors of conversion from radial into femoral access were the use of short introducer sheaths (OR 3.047, CI: 2.380-3.902; p < 0.001), PCI (OR 1.729, CI: 1.375-2.173; p < 0.001), female sex (OR 1.569, CI: 1.234-1.996; p < 0.001), multivessel disease (OR 1.457, CI: 1.167-1.819; p = 0.001), body surface area (BSA) ≤ 1.938 (OR 1.448, CI: 1.120-1.871; ...Continue Reading

Citations

Oct 21, 2015·Annales de cardiologie et d'angéiologie·J Wintzer-Wehekind, J Monségu
Jun 14, 2019·Jornal Vascular Brasileiro·Alexandre Faraco de OliveiraMarcio Costa Silveira Ávila
Dec 5, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Tanawan RiangwiwatJames C Blankenship
Jan 16, 2021·AJNR. American Journal of Neuroradiology·D T GoldmanR A De Leacy
Jun 19, 2021·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Hassan TahirRaj Baljepally

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

Statistical Pack for Social Sciences ( SPSS )

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