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J Invasive Cardiol. 1996;8 Suppl D:40D-44D.

Right Radial Access for PTCA: A Prospective Study Demonstrates Reduced Complications and Hospital Charges.

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Wake Heart Associates, Box 14427, Raleigh, NC, 27620, USA.



The purpose of the present study was to evaluate the hypothesis that angioplasty from the radial artery approach is more cost effective than that from the femoral artery approach.


Previous studies have demonstrated that angioplasty can safely and effectively be performed from the radial artery approach with a virtual absence of access-site complications.


One-hundred fifty-two patients were prospectively randomized to have their angioplasty performed from either the radial or femoral approach. Angioplasty results as well as various cost factors were compared.


Primary success, number of stents deployed, emergency bypass surgery, PTCA time, fluoroscopy time, amount of contrast media, and catheterization laboratory charge were not significantly different in the two groups. Access-site complications (0 RRA vs. 4 RFA, p <.04), post-procedure length of stay (2.1 days +/- 0.1 RRA vs. 2.6 +/- 0.3 RFA, p <.04), total hospital length of stay (3.6 days +/- 0.2 RRA vs. 4.5 +/- 0.4 RFA, p <.03), and total hospital charge ($14,374 +/- 467 RRA vs. 15,796 +/- 702, p <.05) were all significantly less in the radial group.


PTCA can be performed from RRA as effectively as RFA without clinically significant access-site complications. Both post-procedure and total hospital stay are reduced, leading to a 9% reduction in total hospital charges.


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