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August 2015 Br J Cardiol 2015;22:118 doi:10.5837/bjc.2015.031

UK experience of conversion of radial to femoral access in coronary interventions

Shana Tehrani, David Hackett

Abstract

Introduction Arterial access through the transradial approach was described in the late 1980s.1 Radial approach in coronary interventions has advantages over the femoral approach with less vascular complications, less access site bleeding and earlier discharge post-procedure.2-4 In the PREVAIL (Prospective REgistry of Vascular Access in Interventions in Lazio region) study, patients who underwent coronary procedures through the radial artery had a statistically significant reduction in both major and minor bleeding (4.2% vs. 1.96%, p=0.03) and death or myocardial infarction (3.1% vs. 0.6%, p=0.005).5 Despite the multiple advantages of the tra

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