Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jul 17;69(7):e20230198.
doi: 10.1590/1806-9282.20230198. eCollection 2023.

Comparison of pain levels of traditional radial, distal radial, and transfemoral coronary catheterization

Raif Kılıç  1 , Tuncay Güzel  2 , Adem Aktan  3 , Bayram Arslan  4 , Muzaffer Aslan  5 , Serhat Günlü  6 , Mehmet Zülküf Karahan  6
Affiliations

Comparison of pain levels of traditional radial, distal radial, and transfemoral coronary catheterization

Raif Kılıç et al. Rev Assoc Med Bras (1992). .

Abstract

Objective: The aim of our study was to compare the traditional radial artery, distal radial artery, and transfemoral artery, which are vascular access sites for coronary angiography, in terms of pain level using the visual analog scale.

Methods: Between April 2021 and May 2022, consecutive patients from three centers were included in our study. A total of 540 patients, 180 from each of the traditional radial artery, distal radial artery , and transfemoral artery groups, were included. The visual analog scale was applied to the patients as soon as they were taken to bed.

Results: When the visual analog scale was compared between the groups, it was found to be significantly different (transfemoral artery: 2.7±1.6, traditional radial artery: 3.9±1.9, and distal radial artery: 4.9±2.1, respectively, p<0.001). When the patients were classified as mild, moderate, and severe based on the visual analog scale score, a significant difference was found between the groups in terms of body mass index, process time, access time, and number of punctures (p<0.001). Based on the receiver operating characteristic analysis, body mass index>29.8 kg/m2 predicted severe pain with 72.5% sensitivity and 73.2% specificity [(area under the curve: 0.770, 95%CI: 0.724-0.815, p<0.0001)].

Conclusion: In our study, we found that the femoral approach caused less access site pain and a high body mass index predicts severe pain.

PubMed Disclaimer

Conflict of interest statement

Conflicts of interest: the authors declare there is no conflicts of interest.

Figures

Figure 1.
Figure 1.. Box plots of visual analog scale scores of access groups.
Figure 2.
Figure 2.. Receiver operating characteristic curve analysis of body mass index to predict severe pain.
See this image and copyright information in PMC

References

    1. Cruden NL, Teh CH, Starkey IR, Newby DE. Reduced vascular complications and length of stay with transradial rescue angioplasty for acute myocardial infarction. Catheter Cardiovasc Interv. 2007;70(5):670–5. doi: 10.1002/ccd.21182. - DOI - PubMed
    1. Brueck M, Bandorski D, Kramer W, Wieczorek M, Höltgen R, Tillmanns H. A randomized comparison of transradial versus transfemoral approach for coronary angiography and angioplasty. JACC Cardiovasc Interv. 2009;2(11):1047–54. doi: 10.1016/j.jcin.2009.07.016. - DOI - PubMed
    1. Vorobcsuk A, Kónyi A, Aradi D, Horváth IG, Ungi I, Louvard Y, et al. Transradial versus transfemoral percutaneous coronary intervention in acute myocardial infarction systematic overview and meta-analysis. Am Heart J. 2009;158(5):814–21. doi: 10.1016/j.ahj.2009.08.022. - DOI - PubMed
    1. Généreux P, Mehran R, Palmerini T, Caixeta A, Kirtane AJ, Lansky AJ, et al. Radial access in patients with ST-segment elevation myocardial infarction undergoing primary angioplasty in acute myocardial infarction: the HORIZONS-AMI trial. EuroIntervention. 2011;7(8):905–16. doi: 10.4244/EIJV7I8A144. - DOI - PubMed
    1. Sciahbasi A, Fischetti D, Picciolo A, Patrizi R, Sperduti I, Colonna G, et al. Transradial access compared with femoral puncture closure devices in percutaneous coronary procedures. Int J Cardiol. 2009;137(3):199–205. doi: 10.1016/j.ijcard.2008.06.045. - DOI - PubMed