Abstract 12565: Results of a Programmatic Change from Transfemoral to Transradial PCI at a Major University Medical Center
In the USA, most PCI procedures are performed via the transfemoral approach, though the transradial approach is gaining in popularity. Recent data indicate that the transradial approach to PCI reduces vascular access complications significantly, and may reduce cardiac complications. In April 2010 our interventional group decided to take a "radial first" mindset to performing PCIs in our cath lab where the annual volume is approximately 2,000 PCIs. The cath lab tech and RN staff as well as cardiac floor RNs were all inserviced and all "bought in" to the approach. From April 2010 through July 2011 the ratio of transfemoral to transradial PCIs went from 95:5 to nearly 50:50. This change was associated with a major reduction in access site related complications and an increase in patient safety. Specifically, comparing April 2010 to July 2011 data, the following complications were reduced: post PCI blood transfusions (5.8% to 1.9%); large access site hematomas (1.2% vs 0%); access site complications requiring surgical repair (0.24% vs 0%); and retroperitoneal hemorrhages (0.48% to 0%). These findings demonstrate the significant improvement in patient safety that can be achieved in a remarkably short period of time with a programmatic approach to transradial PCI. These results can be duplicated at other programs that perform mostly transfemoral PCIs.
- © 2012 by American Heart Association, Inc.