Transradial versus transfemoral approach for coronary angiography and angioplasty – A prospective, randomized comparison

Table 3 Comparison of complications in the studied subjects

Variable	Radial	Femoral	p value
Variable	N (%)	N (%)	p value
Hematoma	0	29 (14.5%)	0.005 (Sig)
Bleeding complications	6 (3%)	14 (7%)	0.039 (sig)
TIMI major bleeding	0	8 (4%)
TIMI minor bleeding	6 (3%)	4 (2%)
Required Blood transfusion	0	2 (1%)
Access site complications	0	10 (5%)	0.0003 (sig.)
Access site surgery/intervention	0	1 (2%)	0.63 (NS)
Thrombophlebitis	16 (8%)	35 (17.5%)	0.004 (Sig)
Pseudoaneurysm	0	2 (1%)	1.87 (NS)
Hematoma >5 cm	0	3 (1.5%)	0.002 (sig.)
Coronary perforation	0	1 (0.5%)	2.32 (NS)
Coronary dissection	0	1 (0.5%)	2.31 (NS)
Ecchymosis	25 (12.5%)	41 (20.5%)	0.031 (Sig)
Thrombosis of vessel	1 (0.5%)	0	1.000 (NS)
Access Failure	4 (2%)	0	0.082 (NS)
Sepsis	0	0	1.000 (NS)
Acute Renal injury	0	0	1.000 (NS)
Myocardial infarction	0	0	1.000 (NS)
Stroke	0	0	1.000 (NS)
Procedure failure	8 (4.0%)	0	<0.0001 (Sig)
Infective complications	0	0	1.000 (NS)
Death during hospitalization	0	1 (0.5%)	2.69 (NS)

The commonest post procedure complication was puncture site ecchymosis in 20.5% in transfemoral group compared to only 12.5% in transradial group which is statistically significant. 17.5% developed thrombophelebites in transfemoral group compared to only 8% in transradial group which is statistically significant. Hematoma developed in 14.5% in transfemoral group patients compared to none in transradial group which is statistically significant. Post procedure access site bleeding was seen in 3% patients in transradial group compared to 7% in transfemoral approach which was statistically significant. However there was more access failure rate in transradial group (2%) while as none had it in transfemoral group. Similarly the procedure failure rate was 4% (2% due to access failure 2% due to problem in guide wire hooking) in the transradial group compared to none in transfemoral group and it was statistically significant. One patient (0.5%) developed post procedure thrombosis of the vessel. None of our patients had post procedure Myocardial infarction, Stroke, Acute Renal injury and infections
Abbreviations: N Number, Sig significant, NS not significant

ISSN: 1471-2261