Acta clinica Croatica, Vol. 64. No. 4, 2025.
Original scientific paper
https://doi.org/10.20471/acc.2025.64.04.13
Radiation Exposure Using the Transradial versus Transfemoral Approach in Acute Coronary Syndrome
Krešimir Kordić
orcid.org/0000-0002-9707-6946
; Department of Cardiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; School of Medicine, Catholic University of Croatia, Zagreb, Croatia
*
Ozren Vinter
orcid.org/0000-0002-4236-7594
; Department of Cardiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; School of Medicine, Catholic University of Croatia, Zagreb, Croatia
Ivo Darko Gabrić
; Department of Cardiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; School of Medicine, Catholic University of Croatia, Zagreb, Croatia
Ines Zadro Kordić
orcid.org/0000-0002-0754-7194
; Department of Cardiology, Sveti Duh University Hospital, Zagreb, Croatia
Karlo Golubić
; Department of Cardiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; School of Medicine, Catholic University of Croatia, Zagreb, Croatia
Matias Trbušić
; Department of Cardiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; School of Medicine, University of Zagreb
* Corresponding author.
Abstract
Cardiovascular disease (CVD) is the leading cause of global mortality, with a significant
portion attributed to ischemic heart disease. Acute coronary syndrome (ACS), encompassing
both non-ST-elevation (NSTE)-ACS and ST-elevation myocardial infarction (STEMI), often heralds
the onset of CVD. While STEMI demands urgent reperfusion therapy, ideally via percutaneous coronary
intervention (PCI), the timing of invasive coronary angiography in NSTE-ACS depends on risk
stratification. The transradial approach (TRA) has gained preference in ACS due to its lower incidence
of vascular complications and increased patient benefits compared to the transfemoral approach (TFA).
However, there are concerns about increased procedure duration and fluoroscopy dose. This study aimed
to assess radiation exposure between TRA and TFA in patients undergoing cardiac catheterization for
ACS. Through a single-center retrospective review spanning the period from June 2011 to December
2017, data from 1,608 procedures were analyzed. We revealed no significant difference between radiation
exposure in TRA and TFA. These findings support TRA’s use in ACS, echoing recent trends that
indicate decreasing radiation differences over time. Nonetheless, the study’s single-center, retrospective
nature necessitates further research validation in varied clinical settings.
Keywords
Acute coronary syndrome; Percutaneous coronary intervention; Transradial approach; Transfemoral approach; Radiation exposure
Hrčak ID:
344727
URI
Publication date:
31.12.2025.
Visits: 352 *