title: Safety and feasibility of transradial approach for coronary bypass graft angiography and intervention.
abstract: The transradial approach (TRA) is commonly applied for coronary catheterization. However, there are few reports on the safety and feasibility of transradial catheterization in patients with prior coronary artery bypass graft (CABG) surgery. We retrospectively evaluated 124 consecutive patients who underwent graft angiography and intervention via the transradial (TRA group, n = 68) or transfemoral approach (TFA group, n = 56). The baseline clinical characteristics between the 2 groups were similar except for prior myocardial infarction. No significant difference (P > .05)was observed in procedure time, the success rate of puncture, angiography, and intervention procedure between the 2 groups. There was no significant difference in major adverse cardiac and cerebrovascular events during hospitalization. However, the vascular access site complications were significantly lower (P = .021) and the duration of hospitalization was shorter (P = .007) in the TRA group. The TRA for coronary bypass graft angiography and intervention was safe and feasible.
authors.affiliation: Department of Cardiology, Beijing Anzhen Hospital/Capital Medical University, Chao Yang, Beijing, China.
authors.forename: Hongya
authors.initials: H
authors.lastname: Han
authors.forename: Yujie
authors.initials: Y
authors.lastname: Zhou
authors.forename: Hanying
authors.initials: H
authors.lastname: Ma
authors.forename: Yuyang
authors.initials: Y
authors.lastname: Liu
authors.forename: Dongmei
authors.initials: D
authors.lastname: Shi
authors.forename: Yingxin
authors.initials: Y
authors.lastname: Zhao
authors.forename: Zhenxian
authors.initials: Z
authors.lastname: Yan
authors.forename: Fei
authors.initials: F
authors.lastname: Gao
authors.forename: Xiaoli
authors.initials: X
authors.lastname: Liu
authors.forename: Shiwei
authors.initials: S
authors.lastname: Yang
authors.forename: Dean
authors.initials: D
authors.lastname: Jia
authors.forename: Hua
authors.initials: H
authors.lastname: Shen
mesh_terms: D000368:Aged; D017023:Coronary Angiography / Q000009:adverse effects / Q000379:methods*; D001026:Coronary Artery Bypass / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D005263:Femoral Artery; D006801:Humans; D008297:Male; D008875:Middle Aged; D017534:Radial Artery; D012189:Retrospective Studies