The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)
Brachial Arterial Access for PCI: an Analysis of the British Cardiovascular Intervention Society Database
Majd Protty1; Sean Gallagher1; Andrew SP Sharp1; Richard Anderson1; Peter Ludman2; Nick Curzen3; Jim Nolan4; Muhammad Rashid5; Mamas Mamas5; Tim Kinnaird1;
1. Department of Cardiology, University Hospital of Wales, Cardiff, UK, United Kingdom 2. Department of Cardiology, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK 3. Department of Cardiology, University Hospital NHS Trust, Southampton, UK 4. Department of Cardiology, Royal Stoke Hospital, UHNM, Stoke-on-Trent, UK 5. Department of Cardiology, Royal Stoke Hospital, UHNM, Stoke-on-Trent, UK; Keele Cardiovascular Research Group, Institute of Applied Clinical Sciences, University of Keele, Stoke-on-Trent, UK.
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Percutaneous coronary intervention (PCI) has evolved from femoral arterial access predominance to radial arterial access. Despite the widespread use of the radial and femoral approaches, there remains a small but consistent subgroup of patients in whom the brachial approach is still chosen.(1) The study hypothesis was that although clinical outcomes of patients undergoing PCI using brachial access might be inferior to other access sites, in procedures utilising brachial access undertaken by default radial operators, clinical outcomes might be similar to procedures utilising femoral access