Adoption of the transradial approach for percutaneous coronary intervention and rates of vascular complications following transfemoral procedures: Insights from NCDR
Catheterization and Cardiovascular Interventions May 01, 2018
Badri M, et al. - In this retrospective analysis of data from the NCDR CathPCI Registry, researchers investigated the link between adopting the transradial approach for percutaneous coronary intervention (PCI) and rates of vascular complications following transfemoral PCI. There has been some concern that transfemoral skills may be lost by operators adopting the transradial approach, leading to increased rates of vascular complications, so they specifically looked at physicians who were femoral operators in 2010–2011 and later adopted the transradial approach to PCI among low-, intermediate-, or high-level adopters in 2014–2015. Confounding factors were controlled using propensity score matching. A total of 1,704,708 procedures performed by 4,697 operators were included. Findings demonstrated that adoption of the transradial approach for PCI was not related to clinically meaningful increase in rates of vascular complications of transfemoral PCIs.
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