Clinical outcomes and complications between femoral and radial artery approach of Coronary Angiography
DOI:
https://doi.org/10.55958/jcvd.v19i4.152Keywords:
Clinical outcomes, complications, femoral artery approach, radial artery approach, Coronary Angiography.Abstract
Background: Coronary Angiography has become the most suitable invasive procedure to image coronary atherosclerotic burden. The access of choice still comes down to operators’ experience and comfort level.
Objective: To compare the clinical outcomes and complications between femoral and radial artery approach of Coronary Angiography
Material and methods: This cross-sectional research was conducted at the Cardiology Department of Central Park Teaching Hospital, Lahore, over a period of one year. Total 96 patients enrolled who fulfilled the inclusion criteria. Two groups of participants were formed. In group-A, angiography was done through femoral artery and in group-B, angiography was done through radial route. Then patients were followed-up for 6 months and outcomes were noted.
Results: The mean age of patients in femoral artery group of this study was 53.15±9.10years while mean age of patients in radial artery group was 50.72±10.46years. Death occurred in 4 (8.7%) patients in femoral artery group while in 3 (6.5%) radial artery group patients. MI occurred in 2 (4.3%) femoral artery patient group while in 0 (0.0%) patients which were included in radial artery group. Hematoma formed in 5 (10.9%) patients in femoral artery group while in 2 (4.3%) patients in radial artery group. Stroke / TIA, pseudoaneurysm, arteriovenous fistula, arterial occlusion and nerve injury did not occur in any patient in any group. Major bleeding occurred in 2 (4.3%) patients in femoral artery group while in 0 (0.0%) patients in radial artery group. The difference was insignificant (p>0.05).
Conclusion: Complications are high in femoral artery but insignificant results have been obtained. So radial approach can be obtained as preferred method for coronary angiography.
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