Vascular access and radiation exposure during percutaneous coronary procedures.

Vascular access and radiation exposure during percutaneous coronary procedures.
Minerva Cardioangiol. 2020 Apr 23;:
Authors: Sciahbasi A, Babbaro M, Confessore P, Cera M, Di Russo C, Patrizi R, Fedele S
Abstract
In the cardiology community, the use of transradial access for percutaneous coronary procedures is progressively increasing all around the world overtaking the use of transfemoral access. The advantages of the transradial access are based on a significant reduction in bleeding and vascular events compared to the femoral access and on a reduction in mortality in the setting of acute coronary syndromes. However, in recent years a slight but significant increase in radiation exposure for patients and operators associated with the radial approach has been detected, increasing concerns about possible long term increased stochastic risk. In particular interventional cardiologists are among physicians performing interventional procedures using X-rays, those exposed to the highest radiation dose during their activity and this exposure is not without possible long term clinical consequences in term of deterministic and stochastic effects. All the operators should be aware of these risks and manage to reduce their radiation exposure. In this review we analysed the differences in term of radiation exposure comparing the radial and the femoral access for percutaneous coronary procedures. Then, we discussed the possible clinical consequen...

Source: Minerva Cardioangiologica - April 25, 2020 Category: Cardiology Tags: Minerva Cardioangiol Source Type: research