Effect of transradial access on quality of life and cost of cardiac catheterization: A randomized comparison

Background Transradial access is a recently developed alternative for diagnostic cardiac catheterization. Its effects on quality of life after the procedure, patient preference, and cost are unknown. Methods and Results We performed a randomized single-center trial in which 99 patients underwent tra...

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Bibliographic Details
Published in:	The American heart journal 1999-09, Vol.138 (3), p.430-436
Main Authors:	Cooper, Christopher J., El-Shiekh, Reda A., Cohen, David J., Blaesing, Linda, Burket, Mark W., Basu, Asish, Moore, Joseph A.
Format:	Article
Language:	eng
Subjects:	Biological and medical sciences Cardiac Catheterization - economics Cardiac Catheterization - methods Cardiac Catheterization - standards Cardiovascular system Coronary Disease - diagnostic imaging Female Femoral Artery Hospital Costs - statistics & numerical data Humans Investigative techniques of hemodynamics Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Patient Satisfaction Prospective Studies Quality of Life Radial Artery Radiography
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Summary:	Background Transradial access is a recently developed alternative for diagnostic cardiac catheterization. Its effects on quality of life after the procedure, patient preference, and cost are unknown. Methods and Results We performed a randomized single-center trial in which 99 patients underwent transfemoral and 101 underwent transradial diagnostic cardiac catheterization. Quality of life was measured with the SF-36 and visual analog scales at baseline, 1 day, and 1 week. Patients were examined at 1 day and at 1 week after for complications. Costs were measured prospectively. One patient in the femoral group and 2 in the radial group crossed over to the alternative access site. There were no major access site complications. One patient in the transfemoral group had a minor stroke. Transradial catheterization significantly reduced median length of stay (3.6 vs 10.4 hours, P < .0001). Over the first day after the procedure, measures of bodily pain, back pain, and walking ability favored the transradial group ( P
ISSN:	0002-8703 1097-6744