Trends in the Prevalence and Outcomes of Radial and Femoral Approaches to Percutaneous Coronary InterventionA Report From the National Cardiovascular Data Registry
Sunil V. Rao, MD, FACC*,*,
Fang-Shu Ou, MS*,
Tracy Y. Wang, MD, MS*,
Matthew T. Roe, MD, MHS, FACC*,
Ralph Brindis, MD, MPH, FACC ,
John S. Rumsfeld, MD, PhD, FACC ,
Eric D. Peterson, MD, MPH, FACC*
* The Duke Clinical Research Institute, Durham, North Carolina
Division of Cardiology, Oakland Kaiser Hospital, Oakland, California
Denver VA Medical Center, Denver, Colorado.
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Figure 1 Proportion of PCI Cases Performed Via the Radial Artery
Proportion of percutaneous coronary intervention (PCI) cases performed via the radial artery approach (r-PCI) across sites.
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Figure 2 Trend in the Use of r-PCI Over Time in Key Subgroups
Trend in the use of the radial approach to percutaneous coronary intervention (r-PCI) over time in (A) the overall dataset; (B) patients age <75 and  75 years; (C) men and women; (D) patients with stable angina, non–ST-segment elevation acute coronary syndrome (NSTE ACS), and ST-segment elevation myocardial infarction (STEMI).
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Figure 3 Unadjusted Rates of the Primary Outcomes of r-PCI and f-PCI
Unadjusted rates of procedure success, vascular complications, and bleeding complications between the radial approach to percutaneous coronary intervention (r-PCI) and the femoral approach to percutaneous coronary intervention (f-PCI).
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Figure 4 Unadjusted Rates of Bleeding and Vascular Complications of r-PCI and f-PCI in Key Subgroups
Unadjusted rates of bleeding and vascular complications of r-PCI and f-PCI in key subgroups of age (A), gender (B), and indication for percutaneous coronary intervention (C). NSTE ACS = non–ST-segment elevation acute coronary syndrome; STEMI = ST-segment elevation myocardial infarction; other abbreviations as in Figure 3.
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