Abstract 16588: Comparison of Radial versus Femoral Approach in Patients With Coronary Bifurcation Lesions Treated With Percutaneous Coronary Intervention
Background: Transradial approach has been increasingly used as an alternative to femoral access. However there is limited data comparing these two approaches in coronary bifurcation lesions.
Methods: 1691 Patients who received percutaneous coronary intervention (PCI) for non-left main bifurcation lesions were enrolled from 16 centers in Korea between January 2004 and June 2006. According to operator choice, femoral access was utilized in 1173 patients (69.4%) and radial access in 518 patients (30.6%). We compared procedural success rate and major cardiac adverse events including death, myocardial infarction and unplanned revascularization.
Results: There is no significant difference in procedural success rate of main branch stenting (femoral vs. radial: 98.6 % vs. 99.6 %, p=0.076) and side branch stenting (66.4 % vs. 62.2 %, p=0.097). Over median 671 days, transradial approach is not associated with higher occurrence rate of major cardiac adverse events compared to femoral approach (Table).
Conclusions: Transradial approach may be an effective and safe alternative in treatment of coronary bifurcation lesions.
- © 2010 by American Heart Association, Inc.