title: From Femoral to Radial Approach in Coronary Intervention.
abstract: Since the first cardiac catheterization in 1929, this procedure has evolved considerably. Historically performed via the transfemoral access, in the last years, the transradial access has been spreading gradually due to its many advantages. We have conducted a review of published literature concerning efficacy, safety, and cost-effectiveness, and we analyzed our patients' data, including the results of the recently published Minimizing Adverse hemorrhagic events by TRansradial access site and systemic implementation of angioX (MATRIX) study. This review confirmed the superiority of the transradial access compared to the femoral access, especially regarding complications related to the access site, duration of hospitalization, and comfort for the patient. The transradial approach is an excellent option for coronary angiography, and the procedure's risks are reduced by increased operator experience.
authors.affiliation: 1 Division of Cardiology, Second University of Naples, A.O. dei Colli Monaldi Hospital, Naples, Italy.
authors.forename: Renatomaria
authors.initials: R
authors.lastname: Bianchi
authors.affiliation: 1 Division of Cardiology, Second University of Naples, A.O. dei Colli Monaldi Hospital, Naples, Italy.
authors.forename: Ludovica
authors.initials: L
authors.lastname: D'Acierno
authors.affiliation: 1 Division of Cardiology, Second University of Naples, A.O. dei Colli Monaldi Hospital, Naples, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Crisci
authors.affiliation: 1 Division of Cardiology, Second University of Naples, A.O. dei Colli Monaldi Hospital, Naples, Italy.
authors.forename: Donato
authors.initials: D
authors.lastname: Tartaglione
authors.affiliation: 1 Division of Cardiology, Second University of Naples, A.O. dei Colli Monaldi Hospital, Naples, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Cappelli Bigazzi
authors.affiliation: 1 Division of Cardiology, Second University of Naples, A.O. dei Colli Monaldi Hospital, Naples, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Canonico
authors.affiliation: 1 Division of Cardiology, Second University of Naples, A.O. dei Colli Monaldi Hospital, Naples, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Albanese
authors.affiliation: 1 Division of Cardiology, Second University of Naples, A.O. dei Colli Monaldi Hospital, Naples, Italy.
authors.forename: Felice
authors.initials: F
authors.lastname: Gragnano
authors.affiliation: 1 Division of Cardiology, Second University of Naples, A.O. dei Colli Monaldi Hospital, Naples, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Fimiani
authors.affiliation: 1 Division of Cardiology, Second University of Naples, A.O. dei Colli Monaldi Hospital, Naples, Italy.
authors.forename: Mariagiovanna
authors.initials: M
authors.lastname: Russo
authors.affiliation: 2 Department of Advanced Biological Sciences, Federico II University, Naples, Italy.
authors.forename: Plinio
authors.initials: P
authors.lastname: Cirillo
authors.affiliation: 1 Division of Cardiology, Second University of Naples, A.O. dei Colli Monaldi Hospital, Naples, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Calabrò
mesh_terms: D006328:Cardiac Catheterization / Q000009:adverse effects / Q000379:methods*; D017023:Coronary Angiography / Q000009:adverse effects / Q000379:methods*; D003362:Cost-Benefit Analysis; D005260:Female; D005263:Femoral Artery; D006801:Humans; D007902:Length of Stay; D008297:Male; D061214:Patient Safety; D017534:Radial Artery; D016032:Randomized Controlled Trials as Topic; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: coronary angiography; femoral access; radial access; vascular access