Transradial Access for High-Risk Percutaneous Coronary Intervention: Implications of the Risk-Treatment Paradox

Circ Cardiovasc Interv. 2021 Jul;14(7):e009328. doi: 10.1161/CIRCINTERVENTIONS.120.009328. Epub 2021 Jul 13.

Amit P Amin^{1

2}, Sunil V Rao³, Arnold H Seto⁴, Manoj Thangam^{1

2}, Richard G Bach^{1

2}, Samir Pancholy⁵, Ian C Gilchrist⁶, Prashant Kaul⁷, Binita Shah⁸, Mauricio G Cohen⁹, Ty J Gluckman¹⁰, Anna Bortnick¹¹, James T DeVries¹², Hemant Kulkarni¹³, Frederick A Masoudi¹⁴

¹ Cardiovascular Division, Washington University School of Medicine, St. Louis, MO (A.P.A., M.T., R.G.B.).
² Barnes-Jewish Hospital, St. Louis, MO (A.P.A., M.T., R.G.B.).
³ The Duke Clinical Research Institute, Durham, NC (S.V.R.).
⁴ Tibor Rubin Veterans Affairs Medical Center, Long Beach, CA (A.H.S.).
⁵ Department of Cardiology, Mercy Hospital and Community Medical Center, Scranton, PA (S.P.).
⁶ Penn State University, College of Medicine, M.S. Hershey Medical Center, Hershey, PA (I.C.G.).
⁷ Piedmont Heart Institute, Atlanta, GA (P.K.).
⁸ Department of Medicine (Cardiology), VA New York Harbor Healthcare System and New York University School of Medicine (B.S.).
⁹ Cardiovascular Division, Department of Medicine, University of Miami Miller School of Medicine, FL (M.G.C.).
¹⁰ Center for Cardiovascular Analytics, Research and Data Science (CARDS), Providence Heart Institute, Providence St. Joseph Health, Portland, OR (T.J.G.).
¹¹ Albert Einstein College of Medicine, Montefiore Medical Center, NY (A.B.).
¹² Department of Medicine, Section of Cardiology, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine, Lebanon NH (J.T.D.).
¹³ M&H Research, LLC San Antonio, TX (H.K.).
¹⁴ Division of Cardiology, Department of Medicine, University of Colorado Anschutz Medical Campus Aurora, CO (F.A.M.).

Abstract

[Figure: see text].

Keywords: acute kidney injury; hemorrhage; hospitals; incidence; percutaneous coronary intervention.