Excellent Femoral Outcomes when all Access Attempts and Closure Devices are Performed by Experienced Cardiologists

PDF (Size:92KB) PP. 569-572   DOI: 10.4236/wjcd.2013.39089 Author(s) Kevin S. Kang, Quentin Orlando, Robert Maholic, Richard Petrella, Gurjaipal S. Kang

Femoral access is considered less safe for access site complications than the radial access. Cardiovascular procedures have not been studied taking operator experience, defined as American Board of Internal Medicine, Interventional Cardiology certification or equivalent qualification in another country, into account. We hypothesize that the procedural results are operator dependent and excellent results are obtained when procedures are performed by experienced operators. Femoral access is higher risk than radial access based on American College of Cardiology (ACC) guidelines. Femoral access is less forgiving, as opposed to radial, as it is an end-artery, lacks easy compressibility and is more likely to cause morbidity when injured. Hence, radial is recommended over the femoral approach according to ACC practice guidelines. These guidelines are often based on the randomized studies from academic centers where trainees, with variable arterial access experience, perform the initial access stick and arterial closure device deployment. Methods: We performed a single center retrospective review of 32,446 consecutive patients undergoing invasive cardiovascular procedures done from the femoral approach using American College of Cardiology/National Cardiovascular Data Registry (ACC/NCDR) from January 1, 2006 to June 30, 2013. Only experienced operators performed the actual access site stick and the reminder of the invasive procedure. Results: Total bleeding and vascular complications were less than 1%. We define outcomes as excellent if the total bleeding and vascular complication risk is less than 1% based on previous studies discussed in the ACC guidelines. Conclusion: Excellent outcomes can be obtained from the femoral access if experienced cardiologists perform the procedure. Hence, radial arterial access over the femoral access may be selectively rather than universally recommended considering the possibility of varying level of femoral access expertise of different practices. PDF (Size:92KB) PP. 569-572   DOI: 10.4236/wjcd.2013.39089

8,542 total views, 1 views today

About scirp

(SCIRP: http://www.scirp.org) is an academic publisher of open access journals. It also publishes academic books and conference proceedings. SCIRP currently has more than 200 open access journals in the areas of science, technology and medicine. Readers can download papers for free and enjoy reuse rights based on a Creative Commons license. Authors hold copyright with no restrictions. SCIRP calculates different metrics on article and journal level. Citations of published papers are shown based on Google Scholar and CrossRef. Most of our journals have been indexed by several world class databases. All papers are archived by PORTICO to guarantee their availability for centuries to come.
This entry was posted in WJCD and tagged , , . Bookmark the permalink.

21 Responses to Excellent Femoral Outcomes when all Access Attempts and Closure Devices are Performed by Experienced Cardiologists

  1. e-Cigarettes vs cigarettes says:

    Very nice post. I just stumbled upon your blog and wanted to mention that I’ve really loved
    browsing your blog posts. In any case I’ll be subscribing on your rss feed and
    I’m hoping you write again very soon!

  2. pest says:

    When someobe writes an post he/she maintains thee image of a user in his/her
    mind that how a user can know it. Thus that’s why this post is outstdanding.

  3. pests says:

    I leave a response whenever I especially enjoy a post on a site
    or if I have something to add to the discussion.
    Usually it is triggered by the sincerness communicated in the
    post I lookoed at. And after this article Excellent Femoral Outcomes when all Access Attempts and Closure Devices are Performed by Experienced Cardiologists.

    I was moved enough to write a thougt 😉 I actually do have 2 questions for you if you usually do not mind. Could it be just me or do some of the comments look like they are left by brain dead visitors?

    And, if you are posting on other places, I’d like to follow you.

    Would you list every one of your shared pages like your twitter feed,
    Facebook page or LinkedIn profile?

  4. ideas says:

    Thank you for every other informative web site. What place else may I get that kind of information written in such perfect means? I have a challenge that I am just now working on, and I’ve been at the glance out for such info.

  5. I hhave read so many articles regarding the blogger lovers
    except this posst is actually a fastidious piece of writing,
    keep it up.

  6. control says:

    I’m really enjoying the design and layout of your website.
    It’s a very easy on the eyes which makes it much more pleasant for me
    to come here and visit more often. Did yyou hire out
    a developer to create your theme? Superb work!

  7. pest says:

    Excellent blog here! Also your web site rather a
    lot up very fast! What web hoost are you the usage of?
    Can I am getting your associate hyperlink on youir host?
    I want my web site loaded up as fast as yours lol

  8. improvements says:

    I was extremely pleased to discover this page. I want to to
    thank you for ones time for this particularly wonderful read!!
    I definitely loved every part of it and i also have you book marked to look at new
    things in your site.

  9. pest control jobs says:

    naturally like your website but yoou have to take a look at the spelling on quite a few of your
    posts. A number oof them are rife with spelling roblems and I to find it vvery bothersome to tell
    the reality nevertheless I will definitely come
    bck again.

  10. orkin pest control says:

    I’d like to thank you for thhe efforts you’ve pput in writing this website.
    I’m hoping to check outt the same high-grade contenjt from you in the future aas well.
    In truth, your creative writing abilities has motivated me to get my own site now 😉

  11. carpet cleaning diy says:

    Having read this I believed it was really informative.
    I appreciate you fining the time and effort to put this content together.

    I once again find myself personally spending a
    significant amount of time both reading and posting comments.
    But so what, it was still worthwhile!

  12. home says:

    Good day! Would you mind if I share your blog with my zynga group?

    There’s a lot of folks that I think would really enjoy your content.
    Please let me know. Thank you

  13. baby ergo carrier says:

    I’m not sure where you’re getting your information, but great topic.
    I needs to spend some time learning much more or understanding more.
    Thanks for fantastic info I was looking for this info for my mission.

  14. home's says:

    After checking out a few of the articles on your web page, I honestly appreciate your technique of blogging.

    I book marked it to my bookmark webpage list and
    will be checking back in the near future. Take a look at my web site too and
    tell me what you think.

  15. home improvement ideas kitchen says:

    Hі there, just Ьecame alert to ʏoսr blog thгough Google, ɑnd
    foսnɗ that it іs really informative. Ι’m gonna watch оut
    fօr brussels. Ӏ wіll be grateful if yoou continue thnis іn future.
    Lots of people աill bbe benefited ffom your writing. Cheers!

  16. Thank you for some other wonderful article. The place else could anybody get that kind of info in
    such an ideal wway of writing? I’ve a presentation next week, andd I am on
    the look for such info.

  17. locksmith training says:

    Good article! We will be linking to this great article
    on our site. Keep up the good writing.

  18. Hi there exceptionl website! Does running a blog similar to ths require
    a massice amount work? I have very litle kowledge of computer programming however I was hoping to start my own blog soon.
    Anyways, should you have aany recommendations or tips foor new blog owners please share.
    I understand this is off topic nevertheless I
    just needed to ask. Cheers!

  19. I’m extremely impressed with your writing skills and also with the layout on
    your blog. Is this a paid theme or did you customize it yourself?
    Anyway keep up the nice quality writing, it’s rare to see a great blog like this one these days.

  20. locksmith says:

    Do you have a spam issue on this website; I also am a blogger, and I was wondering your situation;we
    have created some nice methods and we are looking to exchange
    techniques with others, please shoot me ann emasil if interested.

  21. Canada Goose Jackor says:

    Good day I am so happy I found your website, I really found you by error, while
    I was searching on Bing for something else, Nonetheless I am here now and would just like to say
    cheers for a fantastic post and a all round exciting blog (I also love the theme/design), I don

Leave a Reply

Your email address will not be published. Required fields are marked *