Radial vs Femoral Access, Bleeding and Ischemic Events in ACS
This post-hoc analysis of the EARLY-ACS trial shows that there is significant international variation in the use of radial approach for ACS patients undergoing an early invasive strategy. It was preferentially used in patients at lower risk for bleeding such as men and younger patients and was not associated with a significant reduction in either bleeding or ischemic outcomes. Whether wider adoption of radial approach to patients at high bleeding risk will reduce overall adverse outcomes deserves further investigation.
Conclusions
This post-hoc analysis of the EARLY-ACS trial shows that there is significant international variation in the use of radial approach for ACS patients undergoing an early invasive strategy. It was preferentially used in patients at lower risk for bleeding such as men and younger patients and was not associated with a significant reduction in either bleeding or ischemic outcomes. Whether wider adoption of radial approach to patients at high bleeding risk will reduce overall adverse outcomes deserves further investigation.
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