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Comparison of radial versus brachial approaches for diagnostic coronary angiography when the femoral approach is contraindicated.

Authors
  • Hildick-Smith, D J
  • Ludman, P F
  • Lowe, M D
  • Stephens, N G
  • Harcombe, A A
  • Walsh, J T
  • Stone, D L
  • Shapiro, L M
  • Schofield, P M
  • Petch, M C
Type
Published Article
Journal
The American Journal of Cardiology
Publisher
Elsevier
Publication Date
Mar 15, 1998
Volume
81
Issue
6
Pages
770–772
Identifiers
PMID: 9527090
Source
Medline
License
Unknown

Abstract

One hundred patients with contraindications to the femoral approach were randomized to undergo diagnostic coronary angiography via percutaneous radial puncture or brachial artery cutdown. Procedure duration, fluoroscopy time, and total radiation dose were significantly less via the radial route, whereas procedural success, complication rates, and pain scores were comparable; we conclude that the radial technique should be the arm approach of choice for new trainees, although there will be occasions when radial access fails and a brachial approach is required.

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