Author + information
- Vishesh Kumar,
- Jimmy Yee,
- Jimmy Higgins,
- Julia Stys,
- Paul Thompson,
- Adam Stys and
- Tomasz Stys
Background: Trans radial artery (TRA) approach has become increasingly popular and is usually preferred over trans femoral artery (TFA) approach in the United States in cardiac catheterization (CATH) and percutaneous coronary intervention (PCI) over the last few years. However, there are instances where TFA approach would be the preferred approach. We were interested in identifying factors that influence physician preference in selection of TFA vs. TRA access in non-emergent cases of CATH and PCI procedures.
Methods: Data from 9,490 consecutive non-emergent CATH procedures were collected from University of South Dakota, Sanford Medical Center from 2011 to 2015.
Results: Femoral CATH represented 20.6% (1958) while Radial CATH represented 79.3% (7532) of total procedures. Females represented 38.5% (3747) and Males represented 59.1% (5743) of the database. Odds ratios (ORs) for Femoral vs. Radial are given in Figure 1, along with 95% confidence intervals (CIs) for ORs, and their associated p value. p ≤ 0.05 is considered statistically significant.
Conclusions: This study suggests that a history of vascular disease including: CVD, CABG, PAD, and previous MI, strongly influences physician selection of TFA approach in non-emergent cases of CATH and PCI procedures. Conversely, patients with high BMI are more likely to undergo TRA approach. Although clinical decision making during CATH is multi-factorial, our analysis identifies some factors that may influence physician preference.
Poster Hall, Hall C
Sunday, March 19, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Interventional Complexity and Complications
Abstract Category: 26. Interventional Cardiology: Vascular Access and Complications
Presentation Number: 1285-164
- 2017 American College of Cardiology Foundation