Chapter

Vascular access: femoral versus radial

David H. Roberts and Andrew Wiper

in Oxford Textbook of Interventional Cardiology

Published on behalf of Oxford University Press

ISBN: 9780199569083
Published online July 2011 | e-ISBN: 9780199697816 | DOI: http://dx.doi.org/10.1093/med/9780199569083.003.004

Series: Oxford Textbooks

Vascular access: femoral versus radial

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Gruentzig performed the first intracoronary balloon angioplasty in 1977. In 1993 intracoronary stent deployment became widely accepted. This was in the era before oral dual antiplatelet therapy. The use of intensive antithrombotic therapy at that time led to a dramatic rise in the incidence of femoral arterial access complications. Campeau had already performed the first transradial coronary angiogram in 1989. As the radial artery runs a more superficial course, haemostasis was easier to achieve in a fully anticoagulated patient. Kiemeneij described the first transradial stent deployment in 1995. In 2007 in the UK, 223 638 diagnostic coronary angiograms and 77 373 percutaneous coronary interventions (PCI) procedures were performed. Radial access accounts for less than 10% of procedures performed worldwide and is performed even less frequently in the United States (1%).

Chapter.  8879 words.  Illustrated.

Subjects: Radiology ; Cardiovascular Medicine

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