TY - JOUR
T1 - The Value of Transradial
T2 - Impact on Patient Satisfaction and Health Care Economics
AU - Lindner, Samuel M.
AU - McNeely, Christian A.
AU - Amin, Amit P.
N1 - Funding Information:
Disclosures: Dr S.M. Lindner is a consultant to AstraZeneca. C.A. McNeely: None. Dr A.P. Amin is funded via a comparative effectiveness research KM1 Career Development Award from the Clinical and Translational Science Award program of the National Center for Advancing Translational Sciences of the National Institutes of Health, grant numbers UL1TR000448, KL2TR000450, and TL-1TR000449, and the National Cancer Institute of the National Institutes of Health, grant number 1KM1CA156708-01; an AHRQ R18 grant award (grant number R18HS0224181-01A1); and is a consultant to GE HealthCare, Terumo, and AstraZeneca.
Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2020/1
Y1 - 2020/1
N2 - This review summarizes the impact of transradial access for cardiac catheterization and percutaneous coronary intervention related to patient satisfaction, patient safety, and health care costs. In studies comparing transradial versus transfemoral approach, transradial access causes less bleeding and less vascular access site complications and provides a mortality benefit in patients with acute coronary syndromes. Transradial access improves patient satisfaction related to site tolerability by reducing pain and discomfort, and facilitating early ambulation with reduced length of stay. Taken in total, the existing randomized and observational data strongly support radial access for improved safety, patient satisfaction, and significant cost savings.
AB - This review summarizes the impact of transradial access for cardiac catheterization and percutaneous coronary intervention related to patient satisfaction, patient safety, and health care costs. In studies comparing transradial versus transfemoral approach, transradial access causes less bleeding and less vascular access site complications and provides a mortality benefit in patients with acute coronary syndromes. Transradial access improves patient satisfaction related to site tolerability by reducing pain and discomfort, and facilitating early ambulation with reduced length of stay. Taken in total, the existing randomized and observational data strongly support radial access for improved safety, patient satisfaction, and significant cost savings.
KW - Cardiac catheterization
KW - Transradial approach
KW - Transradial versus femoral access
UR - http://www.scopus.com/inward/record.url?scp=85074760836&partnerID=8YFLogxK
U2 - 10.1016/j.iccl.2019.08.004
DO - 10.1016/j.iccl.2019.08.004
M3 - Review article
C2 - 31733737
AN - SCOPUS:85074760836
SN - 2211-7458
VL - 9
SP - 107
EP - 115
JO - Interventional Cardiology Clinics
JF - Interventional Cardiology Clinics
IS - 1
ER -