[Vascular approaches and closure devices for percutaneous coronary intervention].
The choice of a transradial or transfemoral approach remains a pivotal decision in percutaneous coronary angioplasty. We discuss here the varying criteria leading to a rational choice in the arterial access choice. Since the emergent transradial approach in France has led to a dramatic reduction in local vascular complications, we also discuss the remaining place of femoral approach and the usefulness of femoral percutaneous closure devices.
Monsegu
J
J
Service de cardiologie, hôpital du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris cedex 05, France.
Karrillon
G J
GJ
Schiano
P
P
Ouadhour
A
A
D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation / Q000379:methods*; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D002408:Catheters, Indwelling / Q000009:adverse effects; D003657:Decision Making; D005263:Femoral Artery; D006470:Hemorrhage / Q000517:prevention & control; D006489:Hemostatic Techniques / Q000295:instrumentation; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D017534:Radial Artery
D006490:Hemostatics