However, significantly lower complications were recorded at the access site with radial compared with femoral access. At 30 days, more patients in the femoral group had large haematoma ...

As expected, there was significant decrease in the proportion of procedures using femoral-artery access, from 84.6% in 2006 to 59.2% in 2011 (P<0.0001 overall), although rates plateaued between ...

Access site crossover was higher in the radial arm (7.6% radial vs 2.0% femoral; p < 0.0001), but crossover occurred in only 4.4% in the highest tertile radial PCI group.

The researchers also analyzed clinical outcomes among default transradial operators who performed PCI via the femoral artery. Here, the 28-day MACE rate was 18% among patients treated with femoral ...

Crossover to femoral access from radial was higher than in the other direction in both women and men (P < .0001 for both; P for interaction = .054). Among women, radial-to-femoral crossover occurred ...

Although using the radial artery as the access point for angioplasty has been linked to reduced bleeding compared to use of the femoral artery, only a small number of high-risk heart attack ...

Although using the radial artery as the access point for angioplasty has been linked to reduced bleeding compared to use of the femoral artery, only a small number of high-risk heart attack ...

The incidence of the primary outcome was low in both groups (radial 3.7% and femoral 4.0%; P = 0.50). However, the rate of access-site complications, a prespecified secondary end point, was ...

The primary efficacy endpoint was achieved in 112 (93.3%) patients. One patient (<1%) required femoral access conversion to complete the procedure. Thirty (25.0%) ...

In addition, patients receiving the femoral approach must lie down for several hours after PCI to reduce the risk of severe bleeding while radial access allows patients to stand up in one hour.

Analysis of individual complications also revealed that brachial access was associated with higher rates of access site hematoma (7.2% brachial access vs. 3% for femoral access; P < .001) and ...