Seldom-Performed Heart Procedure Has Advantages

In radial compared to femoral percutaneous coronary intervention, success rate is the same, bleeding rate is lower

TUESDAY, Aug. 19 (HealthDay News) -- Although radial percutaneous coronary intervention (PCI) is rarely performed, it has a similar procedural success rate as femoral PCI and significantly lower rates of bleeding and vascular complications, according to research published in the August issue of the Journal of the American College of Cardiology -- Cardiovascular Interventions.

Sunil V. Rao, M.D., of the Duke Clinical Research Institute in Durham, N.C., and colleagues assessed 2004-2007 data from the National Cardiovascular Data Registry on 593,094 procedures, of which radial PCI accounted for only 7,804 (1.32 percent).

Compared to femoral PCI, the researchers found that radial PCI was associated with a significantly lower risk of bleeding complications (odds ratio, 0.42), especially among patients younger than age 75, women, and patients undergoing PCI for acute coronary syndrome.

"These data, in the context of prior clinical trials, suggest that a wider adoption of radial PCI in clinical practice may improve the safety of PCI," the authors conclude.

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