Radial vs femoral access for percutaneous coronary intervention: temporal trends and outcomes in the USA
Over the past decade, use of radial access site for PCI has increased 2.8-fold in the USA and now represents the dominant form of access site across all procedural indications. Based on instrumental variable analyses, PCI with radial access site had lower rates of in-hospital mortality, major access site bleeding, and other major vascular complications compared with femoral access site but a slightly higher risk of ischaemic stroke in contemporary practice.
Authors
- Reza Fazel (ORCID: https://orcid.org/0000-0002-9102-6155)
- Jennifer A. Rymer (ORCID: https://orcid.org/0000-0001-9841-2393)
- Eric A. Secemsky (ORCID: https://orcid.org/0000-0003-3861-3163)
- Pratik Manandhar (ORCID: https://orcid.org/0000-0002-8294-7147)
- Robert W. Yeh (ORCID: https://orcid.org/0000-0002-0564-4468)
- David Jonathan Cohen (ORCID: https://orcid.org/0000-0001-9163-724X)
- S. Rajesh (ORCID: https://orcid.org/0000-0002-8383-2261)
- DANIEL M. WOJDYLA (ORCID: https://orcid.org/0009-0009-3431-2014)
- Sunil V. Rao
Institutions
- Beth Israel Deaconess Medical Center (US)
- Harvard University (US)
- NYU Langone Health (US)
- Clinical Research Institute (US)
- St. Francis Hospital (US)
- Duke Medical Center (US)
- Cardiovascular Research Foundation (US)
- Deaconess Hospital (US)
Publication Details
- Journal
- European Heart Journal
- Published
- 2025-06-06
- DOI
- https://doi.org/10.1093/eurheartj/ehaf426
- Citations
- 4
- Primary Topic
- Vascular Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 6.07