Predictors for choosing trans-femoral approach in a center where trans-radial approach is routinely used for coronary angiography




Background


In centers where trans-radial approach (TRA) is routinely used for coronary angiography (CA), little data is available on the predictors for choosing trans-femoral approach (TFA).




Methods


We performed a retrospective analysis of the demographic data and clinical characteristics of all patients who underwent CA with or without coronary intervention in our institute from 2007 to 2008. Patients not undergoing CA through TRA or TFA were excluded. Emergent and urgent procedures were grouped together as nonelective procedures.




Methods


We performed a retrospective analysis of the demographic data and clinical characteristics of all patients who underwent CA with or without coronary intervention in our institute from 2007 to 2008. Patients not undergoing CA through TRA or TFA were excluded. Emergent and urgent procedures were grouped together as nonelective procedures.




Results


Among 1020 patients undergoing CA, 656 (64%) had TRA and the remaining 364 (36%) had TFA. Both the groups were similar in mean age, proportion of whites, concomitant coronary intervention, and the presence of hypertension. Female sex, body mass index (BMI) <30, presence of peripheral arterial disease, diabetes mellitus, previous coronary artery bypass graft (CABG), chronic renal insufficiency (CRI), and nonelective CA increased the likelihood of TFA. In multivariate regression analysis, previous CABG, female sex, BMI <30, peripheral arterial disease, and diabetes independently predicted TFA in decreasing order of strength.

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Nov 16, 2017 | Posted by in CARDIOLOGY | Comments Off on Predictors for choosing trans-femoral approach in a center where trans-radial approach is routinely used for coronary angiography

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