Vascular access and angiographic lesion morphology in elective percutaneous coronary intervention

Vascular access and angiographic lesion morphology in elective percutaneous coronary intervention

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Many coronary interventionists have a perception that the radial route may not facilitate complex PCI.This study evaluates the association between target rubbermaid 8 gallon trash can lesion morphology, vessel characteristics and angiographic outcome in elective PCI cases carried out through radial versus femoral artery approach.Methods: Elective PCI cases over a 23 month period at a tertiary care hospital were reviewed for this analysis.Modified ACC/AHA classification was used to ascertain the impact of different arterial accesses in elective PCI on the angiographic outcome with the complex angiographic lesion morphologies.Results: 343 Patients and 407 lesions were analyzed.

Radial access was the final route in 253 procedures treating a total of 300 lesions, while femoral access was the final route in 90 PCI procedures for treating 107 lesions.Lesion complexity incidence in radial PCI group by using modified ACC/AHA classifications A, B1, B2, and C were 4.67%, 15%, 60.33% and 20%, respectively.While in the femoral PCI, the incidence of lesion types was 6.

54%, 15.89%, 42.99%, and 34.58%, respectively.By summation of the complex end of the spectrum for ACC/AHA lesion types B2 plus C, the incidence ssp218dda-sf was 241 lesions (80.

33%) in radial PCI vs.83 lesions (77.57%) in femoral PCI, P = 0.25.Angiographic successful outcome according to the combined end point was achieved in 283 lesions (94.

33%) for radial PCI vs.92 lesions (85.99%) in femoral PCI, P = 0.004.Conclusion: This study confirms that a default radial PCI is an effective strategy for the majority of complex lesions in elective PCI.