title: Radial approach in percutaneous coronary interventions: current status in Brazil.
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).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Santa Casa de Marília, SP, Brazil. pedroberaldo@gmail.com
authors.forename: Pedro Beraldo de
authors.initials: PB
authors.lastname: Andrade
authors.forename: Marden André
authors.initials: MA
authors.lastname: Tebet
authors.forename: Mônoca Vieira Athanazio de
authors.initials: MV
authors.lastname: Andrade
authors.forename: André
authors.initials: A
authors.lastname: Labrunie
authors.forename: Luiz Alberto Piva e
authors.initials: LA
authors.lastname: Mattos
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000379:methods* / Q000592:standards / Q000706:statistics & numerical data; D001938:Brazil; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D008499:Medical Records; D017534:Radial Artery / Q000601:surgery*; D016896:Treatment Outcome