Effect of transradial access on quality of life and cost of cardiac catheterization: A randomized comparison☆,☆☆,★,★★
Section snippets
Patient population
All patients referred for diagnostic cardiac catheterization were screened for participation. Patients with palpable femoral and radial pulses and a normal Allen’s test were included. Patients were excluded for known or suspected vascular disease precluding access, unstable coronary symptoms, need for additional procedures during the same hospitalization, or if they were unable or unwilling to give informed consent. Patients were not excluded for age, sex, body size, or race. Written informed
Results
Between March 4, 1996, and February 6, 1997, 993 patients were screened for participation (Figure 1).
Of these, 896 (90%) had a normal Allen’s test. The most frequent causes for exclusion were unstable symptoms (384) and the planned use of additional procedures (103). The baseline characteristics of the 2 groups were well matched (Table I).
Discussion
Cardiac catheterization is most commonly performed through femoral arterial access. However, this method may result in significant vascular complications.12 To minimize these, bed rest is required after catheter removal. As a result of the bed rest, many patients have back pain, urinary retention, or constipation. These problems may be accentuated in the elderly and in patients with preexisting back pain or prostatic hypertrophy.
In contrast, catheterization through the radial artery has several
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2022, Journal of Vascular and Interventional Radiology
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From the Medical College of Ohio, Cardiology Division; and Harvard Medical School, Beth Israel–Deaconess Medical Center.
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Supported by a grant from Cordis Corporation. Dr Cohen was supported in part by a Clinician-Scientist Award from the American Heart Association.
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Reprint requests: Christopher J. Cooper, MD, Medical College of Ohio, Cardiology Division, 3000 Arlington Ave, Toledo, OH 43699-0008.E-mail: [email protected]
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