Comparison of Transradial and Transfemoral Approaches in Women Undergoing Percutaneous Coronary Intervention in China: A Retrospective Observational Study

Chen Jin, Yi Xu, Shubin Qiao, Xinran Tang, Yongjian Wu, Hongbing Yan, Kefei Dou, Bo Xu, Jingang Yang, Ying Xian, Yuejin Yang

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Despite increasing adoption of the transradial approach for percutaneous coronary intervention (PCI) in clinical practice, the role of transradial intervention (TRI) in women remains a significant debate. We identified 1392 women from a consecutive cohort of patients undergoing PCI in China in 2010 and compared the efficacy and hospital costs between TRI and transfemoral intervention. An inverse probability weighting (IPW) method was used to control for potential bias. After IPW adjustment, patients receiving TRI were less likely to experience post-PCI bleeding (adjusted odds ratio [OR]: 0.46, 95% confidence interval [CI]: 0.30-0.71) and major adverse cardiac events (adjusted OR 0.35, 95% CI 0.19-0.63) and more likely to have shorter length of stay in hospital (1.2 days difference, 95% CI: 0.6-1.7). Moreover, TRI was associated with a cost saving of ¥ (Yuan Renminbi) 7474 (approximately US$1150, 95% CI: ¥2993-¥11 624). More than 70% of this saving was driven by lower PCI-related costs. In conclusion, the use of TRI in women was associated with more favorable outcomes and lower hospital costs.

Original languageEnglish (US)
Pages (from-to)799-806
Number of pages8
JournalAngiology
Volume68
Issue number9
DOIs
StatePublished - Oct 1 2017
Externally publishedYes

Keywords

  • coronary artery disease
  • cost-benefit analysis
  • percutaneous coronary intervention
  • transfemoral intervention
  • transradial intervention
  • women

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint

Dive into the research topics of 'Comparison of Transradial and Transfemoral Approaches in Women Undergoing Percutaneous Coronary Intervention in China: A Retrospective Observational Study'. Together they form a unique fingerprint.

Cite this