Association Between the Access Site for Coronary Angiography and Catheter-induced Coronary Artery Dissection.

ABSTRACT:

Background

Catheter-induced coronary artery dissection (CICAD) is a rare complication of coronary angiography. The association between access site and CICAD remains unclear; however, transradial access (TRA) may be associated with a higher incidence of CICAD due to access vessel tortuosity and the mechanical disadvantage of catheters designed for the transfemoral access (TFA) approach.

Methods

In this retrospective study, the reports of consecutive left heart catheterizations between April 2007, and December 2021 were reviewed for CICAD. Patients were excluded if the procedural report did not report an arterial access site. Identified CICAD cases were reviewed in detail.

Results

There were 142/89,876 (0.16%) identified cases of CICAD. The access site was not associate

SUBMITTER: Di Santo P 

PROVIDER: S-EPMC11307617 | biostudies-literature | 2023 May-Jun

REPOSITORIES: biostudies-literature