Key points are not available for this paper at this time.
Background: Coronary Angiography has become the most suitable invasive procedure to image coronary atherosclerotic burden. The access of choice still comes down to operators’ experience and comfort level. Objective: To compare the clinical outcomes and complications between femoral and radial artery approach of Coronary Angiography Material and methods: This cross-sectional research was conducted at the Cardiology Department of Central Park Teaching Hospital, Lahore, over a period of one year. Total 96 patients enrolled who fulfilled the inclusion criteria. Two groups of participants were formed. In group-A, angiography was done through femoral artery and in group-B, angiography was done through radial route. Then patients were followed-up for 6 months and outcomes were noted. Results: The mean age of patients in femoral artery group of this study was 53.15±9.10years while mean age of patients in radial artery group was 50.72±10.46years. Death occurred in 4 (8.7%) patients in femoral artery group while in 3 (6.5%) radial artery group patients. MI occurred in 2 (4.3%) femoral artery patient group while in 0 (0.0%) patients which were included in radial artery group. Hematoma formed in 5 (10.9%) patients in femoral artery group while in 2 (4.3%) patients in radial artery group. Stroke / TIA, pseudoaneurysm, arteriovenous fistula, arterial occlusion and nerve injury did not occur in any patient in any group. Major bleeding occurred in 2 (4.3%) patients in femoral artery group while in 0 (0.0%) patients in radial artery group. The difference was insignificant (p>0.05). Conclusion: Complications are high in femoral artery but insignificant results have been obtained. So radial approach can be obtained as preferred method for coronary angiography.
Khurana et al. (Thu,) studied this question.