{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T10:17:49Z","timestamp":1775816269218,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2009,3,24]],"date-time":"2009-03-24T00:00:00Z","timestamp":1237852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2009,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:styled-content>Objective<\/jats:styled-content>: The aim of this study was to compare in\u2010hospital outcomes for patients undergoing high\u2010speed rotational atherectomy (HSRA) via the radial and femoral route. <jats:styled-content>Background<\/jats:styled-content>: Transradial access is often avoided for HSRA because of concern over limitations on guide catheter size. No studies have compared a radial and femoral approach for HSRA. <jats:styled-content>Methods<\/jats:styled-content>: This is a retrospective comparison of in\u2010hospital outcomes for 151 consecutive patients (75 radial, 76 femoral) undergoing HSRA. <jats:styled-content>Results<\/jats:styled-content>: Significantly smaller diameter guide catheters (6.3 \u00b1 0.5 Fr vs. 7.1 \u00b1 0.8 Fr, <jats:italic>P<\/jats:italic> &lt; 0.001) and burrs (1.6 \u00b1 0.2 mm vs. 1.7 \u00b1 0.2 mm, <jats:italic>P<\/jats:italic> = 0.02) were used in the radial compared with the femoral group. Procedural success (93.3% vs. 94.7%, <jats:italic>P<\/jats:italic> = 0.75), procedure time (108.7 \u00b1 30.5 min vs. 112.8 \u00b1 35.0 min, <jats:italic>P<\/jats:italic> = 0.45), and patient radiation exposure (12125 \u00b1 8373 vs. 12118 \u00b1 7831 cGy cm<jats:sup>2<\/jats:sup>, <jats:italic>P<\/jats:italic> = 1.00) were similar in radial and femoral groups. There was a trend in favor of radial artery access for major access site bleeding complications (0.0% vs. 5.3%, <jats:italic>P<\/jats:italic> = 0.12). The incidence of in\u2010hospital death or myocardial infarction was low in both groups. <jats:styled-content>Conclusion<\/jats:styled-content>: This study shows that radial artery access is a feasible, safe, and effective approach for HSRA. Overall complication rates are low and radial access may be associated with a lower risk of major bleeding complications compared with a femoral approach. \u00a9 2009 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ccd.22066","type":"journal-article","created":{"date-parts":[[2009,3,24]],"date-time":"2009-03-24T19:20:27Z","timestamp":1237922427000},"page":"550-554","source":"Crossref","is-referenced-by-count":43,"title":["Radial versus femoral approach for high\u2010speed rotational atherectomy"],"prefix":"10.1002","volume":"74","author":[{"given":"Jonathan","family":"Watt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith G.","family":"Oldroyd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,5,11]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.2000.2242"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.96.1.128"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00288-5"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2004.04.034"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/heart.89.5.561"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21182"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/1522-726X(200010)51:2<234::AID-CCD22>3.0.CO;2-8"},{"key":"e_1_2_6_9_2","first-page":"219","article-title":"High\u2010speed rotational atherectomy during transradial percutaneous coronary intervention","volume":"20","author":"Egred M","year":"2008","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.1999.1945"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21277"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.22066","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.22066","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T14:11:22Z","timestamp":1697465482000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.22066"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,5,11]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2009,10]]}},"alternative-id":["10.1002\/ccd.22066"],"URL":"https:\/\/doi.org\/10.1002\/ccd.22066","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,5,11]]}}}