Safety and feasibility of transradial approach for intervention therapy after coronary artery bypass graft
10.3969/j.issn.1004-8812.2016.02.007
- VernacularTitle:冠状动脉旁路移植术后经左桡动脉及股动脉途径行介入治疗的有效性及安全性研究
- Author:
Yana SHI
;
Jie DENG
;
Xiaozeng WANG
;
Xin ZHAO
;
Jie TAO
;
Quanmin JING
;
Geng WANG
;
Haiwei LIU
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass graft;
Radial artery;
Intervention;
Complication
- From:
Chinese Journal of Interventional Cardiology
2016;24(2):96-99
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare safety and feasibility using radial versus femoral access during cardiac catheterization of patients who had previously undergone coronary artery bypass graft ( CABG) surgery. Methods We retrospectively evaluated 116 consecutive patients who underwent graft intervention via the transradial (TRA group, n = 46) or transfemoral approach (TFA group, n = 70), and observed the baseline clinical characteristics, angiography characteristics and complications between the 2 groups. Results The baseline clinical characteristics between the 2 groups were similar ( all P > 0. 05) . No significant difference was observed in angiography characteristics and procedural parameters including operation time, radiation exposure and puncture time between the 2 groups (all P > 0. 05). There was no significant difference in major adverse cardiac events during hospitalization. PCI to graft vessels were all successful and procedural success rates were similar between the 2 groups (P = 0. 669). Vascular access site complications were significantly lower ( P = 0. 03) in the TRA group. No access site complication was recorded in the TRA group. 7 cases (10. 0% ) with complications were recorded in the TFA group including 1 case of major bleeding (1. 4% ), 3 cases of minor bleeding (4. 3% ), 2 cases of local hematorna (2. 9% ) and 1 case of A-V fistula formation. Conclusions In contrast to the transfemoral route, the rate of major vascular complications was negligible using the transradial approach.
