COMPLICATIONS OF RADIAL VERSUS FEMORAL ACCESS FOR CORONARY ANGIOGRAPHY PRESENTING IN A TERTIARY CARE HOSPITALS, PESHAWAR, KHYBER PAKHTUNKHWA

Abstract

An extensive observational analysis comparing the safety and effectiveness of radial versus femoral artery access in patients having coronary angiography is presented in the research titled Radial versus Femoral Artery Complications which was carried out at Tertiary Care Hospitals in Peshawar. 152 patients in all were split into two groups according to the vascular access method used for the treatment. Evaluating the frequency of procedure related problems and identifying the strategy that provided better clinical results with fewer adverse events were the main goals. The outcomes showed that the radial artery route had a definite and statistically significant advantage over the femoral procedure. The femoral access group showed significantly higher rates of major procedural complications (64.8% vs. 17.5%) and a significantly higher frequency of access site bleeding (63.9% vs. 7.5%) despite the fact that baseline demographic and clinical characteristics between the two cohorts were generally similar ensuring comparability and minimizing bias. Even after controlling for confounding factors like age multiple medical conditions and operator experience multivariable logistic regression analysis of the Tertiary Care Hospitals data confirmed that radial access independently reduced the odds of experiencing major complications by about 89%. In addition to its excellent safety profile the radial method has been linked to shorter hospital stays better overall resource use improved patient comfort and quicker post procedural ambulation. These combined results demonstrate radial artery access clinical superiority and procedural dependability in coronary angiography ultimately making it Tertiary Care Hospitals preferred and safer standard of care. The results of the study highlight the role that trans radial access plays in enhancing both patient safety and institutional efficiency adding to the increasing amount of evidence that supports the global move toward trans radial access for invasive cardiac procedures.