Department of Cardiology, Ali Medical Center, Rawalpindi 44000, Pakistan.
Department of Medicine, Jinnah Sindh Medical University, Karachi 05444, Pakistan.
Future Cardiol. 2024;20(9):479-484. doi: 10.1080/14796678.2024.2373592. Epub 2024 Jul 15.
This retrospective cohort study aimed to compare the outcomes of graft angiography using these two approaches. Medical records and angiographic data of adult patients who underwent graft angiography between January 2020 and December 2022 were analyzed. The study included 452 patients in the distal radial access (DRA) group and 960 patients in the femoral access group. Angiographic characteristics showed a higher prevalence of triple vessel disease in the femoral access group (29.8% vs. 20.8%; = 0.012). The DRA group had a procedural success rate of 93.0%, while the femoral access group had a higher success rate of 95.8%. The odds ratio was 0.66 (95% CI: 0.46-0.94), indicating lower odds of procedural success in the DRA group. Our study suggests that both DRA and femoral access are effective and safe approaches for graft angiography after coronary artery bypass surgery.
这项回顾性队列研究旨在比较两种方法进行移植血管造影的结果。分析了 2020 年 1 月至 2022 年 12 月期间接受移植血管造影的成年患者的病历和血管造影数据。研究包括桡动脉远端入路（DRA）组的 452 名患者和股动脉入路组的 960 名患者。血管造影特征显示股动脉入路组的三血管病变发生率更高（29.8%比 20.8%；=0.012）。DRA 组的手术成功率为 93.0%，而股动脉入路组的成功率更高，为 95.8%。优势比为 0.66（95%CI：0.46-0.94），表明 DRA 组手术成功率较低。我们的研究表明，桡动脉远端入路和股动脉入路都是冠状动脉旁路手术后移植血管造影的有效和安全方法。
