Keele Research Repository
Explore the Repository
Choudhury, T, Lurz, P, Schäufele, TG, Menezes, MN, Lavi, S, Tzemos, N, Hartung, P, Stiermeier, T, Makino, K, Bertrand, OF, Gilchrist, IC, Mamas, MA and Bagur, R (2019) Radial versus Femoral Approach for Left Ventricular Endomyocardial Biopsy. EuroIntervention, 15 (8). pp. 678-684. ISSN 1969-6213
M Mamas - Radial versus femoral approach....pdf - Accepted Version
Available under License Creative Commons Attribution Non-commercial.
Download (383kB) | Preview
Abstract
AIMS: Left ventricular endomyocardial biopsy (LV-EMB) is mostly performed via the femoral artery. We assessed the feasibility and safety of radial versus femoral access in patients undergoing LV-EMB. METHODS AND RESULTS: 264 patients from four countries undergoing LV-EMB were collected. Clinical, procedural, safety and feasibility data were compared between groups. LV-EMB was successfully performed via radial approach in 129 (99%) of 130 and 134 (100%) patients by femoral access. Patients in the radial group were older (55.7 versus 44.3 years) and more likely to have moderate-severe mitral regurgitation (27.7% versus transfemoral 0%). Sheathless guides were used in 108 (83.1%) radial and 2 (1.5%) femoral patients; the mean guiding catheter size (radial 7.0±1.0-French versus femoral 8.0±0.1-French, P<0.001) was smaller in the radial group. Mild/moderate radial artery spasm occurred in 13 (10.0%) patients and 1 (0.8%) patient required conversion to femoral access due to severe spasm. No access-site related complications were reported in the radial group while 11 (8.2%) patients in the femoral group had access-site hematomas (P=0.001). There were no major complications in either group. CONCLUSIONS: Radial approach for LV-EMB is feasible and safe, with fewer access-site bleeding complications compared to femoral access. These results study support radial approach for LV-EMB.
Item Type: | Article |
---|---|
Additional Information: | The final version of this accepted manuscript is available online at https://www.pcronline.com/eurointervention/ahead-of-print/JAA_EIJ_EIJ-D-18-01061/radial-versus-femoral-approach-for-left-ventricular-endomyocardial-biopsy.html |
Uncontrolled Keywords: | radial; cardiology; endomyocardial |
Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine > RC666 Diseases of the circulatory (Cardiovascular) system |
Divisions: | Faculty of Medicine and Health Sciences > Primary Care Health Sciences |
Related URLs: | |
Depositing User: | Symplectic |
Date Deposited: | 18 Mar 2019 12:14 |
Last Modified: | 12 Feb 2020 01:30 |
URI: | https://eprints.keele.ac.uk/id/eprint/6071 |