The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)


The use of radial access decreases the risk of vascular access-site-related complications at a patient level but is associated with an increased risk at a population level: the radial paradox

EuroIntervention 2014;10:531-532. DOI: 10.4244/EIJV10I4A92

Interventional Cardiology Division, Dept. of Medicine, Montreal Heart Institute, Université de Montréal, Montréal, QC, Canada
We read with great interest the article by Rafie et al1, in which the authors assessed the incidence of vascular access-site-related complications (VASC) when a femoral access (FA) was attempted by interventional cardiologists predominantly using radial access (RA) in their daily practice (“radial operators”). The authors reported a disproportionately high VASC rate (12.5%) in femorally accessed patients, as compared to historical populations where FA was predominantly used (3.2-8.4%). As acknowledged by the authors, such comparison is methodologically difficult because of case mix and differences in medical treatment and interventional techniques. Rafie et al attributed the higher rate of VASC to the ...

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