Haitham Ali Abdullah, Hasan Ahmed Fadaam and Mohammed Qasim Khadim
Background: Coronary angiography via the transradial approach has gained worldwide popularity due to its perceived advantages, including a reduction in vascular complications and mortality compared to the transfemoral approach. This study aimed to evaluate the safety, patient comfort, and preference of patients undergoing transradial coronary procedures versus those using transfemoral access.
Method: The research included 302 patients, 144 of whom had transradial and 158 transfemoral surgery. The radial access group had more female patients according to their request, but demographics were similar. A specific radial kit was used for radial access, while the Seldinger method was used for femoral artery access. Procedure time, access issues, patient comfort, early mobility demand, and satisfaction were measured.
Results: Revealed that access time was slightly longer in the transradial group (5.8±1.2 minutes) compared to the femoral group (4.2±0.8 minutes, p-value = 0.012). Procedural time was also marginally extended in the radial group (25±12.3 minutes) compared to the femoral group (22.7±11 minutes). However, the significant advantage of radial access became evident in the time required for early standing and ambulation, with a notable difference of 0.16 hours (10 minutes) compared to 6±0.7 hours in the femoral group (p-value < 0.0001).
Conclusion: Transradial treatment reduces access site problems, speeds healing, improves patient self-sufficiency, and allows early ambulation. These benefits increase patient happiness and willingness, although procedure duration is somewhat longer. This research highlights the transradial technique for coronary operations, emphasising patient-centered results and comfort.
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