6. Technical approaches

Standard vs ultrasound-guided radial or femoral access

SURF
Objective
to compare the outcomes of cardiac catheterisation vs transradial or trans femoral access and standard vs ultrasound guided arterial access
Study
prospective single-centre, randomised trial: 2×2 factorial (radial vs femoral and standard vs ultrasound)
Population
unselected patients : angiography only (77.4% vs 72.9%) and PCI (22.5% vs 27.1%)
Endpoints
composite of ACUITY: major bleeding and MACE (death, stroke, MI, urgent TLR) and vascular complications at 30 days
Conclusion
transradial access was associated with a significant reduction in complications compared to the femoral access
Nguyen et al. EuroIntervention. 2019;15:e522-3
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