Efficacy and indications of transradial and transfemoral approaches for peripheral artery stent implantation

  • Authors:
    • Peng Chen
    • Huijie Li
    • Chunyu Zeng
    • Yuqiang Fang
    • Weibin Shi
    • Xiaoqun Zhang
    • Chengming Yang
  • View Affiliations

  • Published online on: April 5, 2017     https://doi.org/10.3892/etm.2017.4307
  • Pages: 2975-2982
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Abstract

The transradial approach (TRA) has become an attractive alternative to the transfemoral approach (TFA) in percutaneous coronary intervention. To date, however, these two approaches have not been systematically compared in various percutaneous peripheral artery interventions (PPAIs). In the present study 258 patients with peripheral artery disease that underwent PPAI via the TRA (n=75) or the TFA (n=183) were analyzed. Clinical factors and outcomes in these two groups were compared. The puncture time was significantly longer (P<0.05) and the prevalence of artery vasospasm significantly higher (P<0.05) in patients who underwent PPAI via the TRA rather than via the TFA. However, the complication rate was significantly lower (P<0.05) and the artery compression time (P<0.05) and time bedridden (P<0.05) were significantly shorter via the TRA than via the TFA. These results suggest that PPAI via the TRA was associated with a lower complication rate, and shorter artery compression time and bedridden time than PPAI via the TFA. The TRA may be preferable for bilateral vertebral artery stenosis, whereas the TFA may be preferable for interventional treatment of carotid and subclavian artery stenosis. Therefore, the catheter length, artery support and push force should be comprehensively considered before choosing the TRA or TFA in the interventional treatment of renal artery stenosis.

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June-2017
Volume 13 Issue 6

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Chen P, Li H, Zeng C, Fang Y, Shi W, Zhang X and Yang C: Efficacy and indications of transradial and transfemoral approaches for peripheral artery stent implantation. Exp Ther Med 13: 2975-2982, 2017
APA
Chen, P., Li, H., Zeng, C., Fang, Y., Shi, W., Zhang, X., & Yang, C. (2017). Efficacy and indications of transradial and transfemoral approaches for peripheral artery stent implantation. Experimental and Therapeutic Medicine, 13, 2975-2982. https://doi.org/10.3892/etm.2017.4307
MLA
Chen, P., Li, H., Zeng, C., Fang, Y., Shi, W., Zhang, X., Yang, C."Efficacy and indications of transradial and transfemoral approaches for peripheral artery stent implantation". Experimental and Therapeutic Medicine 13.6 (2017): 2975-2982.
Chicago
Chen, P., Li, H., Zeng, C., Fang, Y., Shi, W., Zhang, X., Yang, C."Efficacy and indications of transradial and transfemoral approaches for peripheral artery stent implantation". Experimental and Therapeutic Medicine 13, no. 6 (2017): 2975-2982. https://doi.org/10.3892/etm.2017.4307