Abstract:
BACKGROUND:Although the radial approach offers an unquestionable result in terms of reduction of vascular complications and occurrence of severe bleeding in comparison to the femoral approach, so far it has only been used in few centers which elected it as the preferential access. OBJECTIVE:To evaluate the current status of percutaneous coronary interventions in Brazil, as regards the use of the radial approach. METHODS:Analysis of data spontaneously recorded in Central Nacional de Intervenções Cardiovasculares - CENIC (National Center for Cardiovascular Interventions) from 2005 to 2008, in a total of 83,376 procedures. RESULTS:The radial approach was used in 12.6% of the procedures performed, and the femoral approach, in 84.3%. The remaining 3.1% corresponded to brachial artery dissection or puncture. With a success rate of 97.5%, the choice of the radial approach was associated with a significant reduction of vascular complications in comparison to the femoral approach (2.5% versus 3.6 %, p < 0.0001). CONCLUSION:The radial approach remains uncommonly used in Brazil, and this is possibly explained by the lack of training programs, uncertainties regarding the learning curve, and the lack of large-scale studies corroborating the benefits demonstrated to date.
journal_name
Arq Bras Cardioljournal_title
Arquivos brasileiros de cardiologiaauthors
Andrade PB,Tebet MA,Andrade MV,Labrunie A,Mattos LAdoi
10.1590/s0066-782x2011005000026subject
Has Abstractpub_date
2011-04-01 00:00:00pages
312-6issue
4eissn
0066-782Xissn
1678-4170pii
S0066-782X2011005000026journal_volume
96pub_type
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