Outcomes of graft angiography with distal radial access: a retrospective cohort study

• Published in: Future cardiology Vol. 20; no. 9; p. 479
• Main Authors: Iqbal, Hamid, Kumar, Fnu Manoj, Mehmood, Farrukh, Kiran, Fnu, Bai, Kajal, Kumari, Kajal, Suman, Fnu, Kumar, Deepak, Rani, Deepa, Alies Rahol Rai, Saroop Kumar, Malik, Jahanzeb, Akhtar, Waheed
• Format: Journal Article
• Language: English
• Published: England 03.07.2024
• Subjects: Aged; Coronary Angiography - methods; Coronary Artery Bypass - methods; Coronary Artery Disease - diagnosis; Coronary Artery Disease - surgery; Female; Femoral Artery; Humans; Male; Middle Aged; Radial Artery - transplantation; Retrospective Studies; graft angiography; ischemic heart disease; femoral artery; radial artery; ischemia
• ISSN: 1744-8298
• DOI: 10.1080/14796678.2024.2373592

This retrospective cohort study aimed to compare the outcomes of graft angiography using these two approaches. Medical records and angiographic data of adult patients who underwent graft angiography between January 2020 and December 2022 were analyzed. The study included 452 patients in the distal radial access (DRA) group and 960 patients in the femoral access group. Angiographic characteristics showed a higher prevalence of triple vessel disease in the femoral access group (29.8% vs. 20.8%;  = 0.012). The DRA group had a procedural success rate of 93.0%, while the femoral access group had a higher success rate of 95.8%. The odds ratio was 0.66 (95% CI: 0.46-0.94), indicating lower odds of procedural success in the DRA group. Our study suggests that both DRA and femoral access are effective and safe approaches for graft angiography after coronary artery bypass surgery.