title: Comparison of transradial and transfemoral artery approach for percutaneous coronary angiography and angioplasty: a retrospective seven-year experience from a north Indian center.
abstract: BACKGROUND
  With the increasing prevalence of coronary artery disease, percutaneous coronary artery procedures have become even more important. Our study has compared transradial to transfemoral artery approach for coronary procedures in Indian population.
  
  
  OBJECTIVE
  Comparison of transradial and transfemoral artery approach for percutaneous coronary procedures.
  
  
  METHODS
  26,238 patients, who underwent percutaneous coronary artery procedures, were divided into two groups depending upon transradial and transfemoral artery approach and compared for the various demographic and clinical characteristics, risk factors profile, vascular access and procedural details.
  
  
  RESULTS
  26,238 patients underwent percutaneous coronary procedures at our center. 81% were male and 19% were female. 55.65% and 44.35% procedures were done through transfemoral and transradial approach, respectively. 17,417 (66.38%) coronary angiographies were done, out of which 53.92% were transradial and 46.08% were transfemoral procedures. 8821 (33.62%) Percutaneous Transluminal Coronary Angioplasty (PTCA) were done, out of which 25.46% and 74.54% were done through transradial and transfemoral approach, respectively. Mean fluoroscopy time was 4.40 ± 3.55 min for transradial and 3.30 ± 3.66 min for transfemoral CAG (p < 0.001). For PTCA mean fluoroscopy time was 13.53 ± 2.53 min for transradial and 12.61 ± 9.524 min for transfemoral PTCA (p < 0.001). Minor and major procedure related complications and total duration of hospital stay were lower in transradial as compared to transfemoral group.
  
  
  CONCLUSIONS
  The number of percutaneous transradial procedures have increased significantly with reduced complication rates and comparable success rate to transfemoral approach, along with the additional benefits to patient in terms of patient comfort, preference and reduced cost of health delivery.
authors.affiliation: Professor, Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh 226014, India. Electronic address: stewari_sgpgi@yahoo.com.
authors.forename: Satyendra
authors.initials: S
authors.lastname: Tewari
authors.forename: Naveen
authors.initials: N
authors.lastname: Sharma
authors.forename: Aditya
authors.initials: A
authors.lastname: Kapoor
authors.forename: Sanjeev Kumar
authors.initials: SK
authors.lastname: Syal
authors.forename: Sudeep
authors.initials: S
authors.lastname: Kumar
authors.forename: Naveen
authors.initials: N
authors.lastname: Garg
authors.forename: Pravin K
authors.initials: PK
authors.lastname: Goel
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography / Q000379:methods*; D003327:Coronary Disease / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D005263:Femoral Artery; D006489:Hemostatic Techniques; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011677:Punctures; D017534:Radial Artery; D015641:Radiography, Interventional; D012189:Retrospective Studies; D012307:Risk Factors; D018084:Ultrasonography, Interventional
keywords: Coronary angiography; PTCA; Transfemoral; Transradial