Transradial versus transfemoral access for cardiac catheterization: a nationwide pilot study of training preferences and expertise in The United States
Abstract Background The objective was to assess current training preferences, expertise, and comfort with transfemoral access (TFA) and transradial access (TRA) amongst cardiovascular training fellows and teaching faculty in the United States. As TRA continues to dominate the field of interventional...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-05-01
|
| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-021-02068-5 |
| _version_ | 1818455015115718656 |
|---|---|
| author | Khalid Changal Mubbasher Ameer Syed Ealla Atari Salik Nazir Sameer Saleem Sajjad Gul F. N. U. Salman Asad Inayat Ehab Eltahawy |
| author_facet | Khalid Changal Mubbasher Ameer Syed Ealla Atari Salik Nazir Sameer Saleem Sajjad Gul F. N. U. Salman Asad Inayat Ehab Eltahawy |
| author_sort | Khalid Changal |
| collection | DOAJ |
| description | Abstract Background The objective was to assess current training preferences, expertise, and comfort with transfemoral access (TFA) and transradial access (TRA) amongst cardiovascular training fellows and teaching faculty in the United States. As TRA continues to dominate the field of interventional cardiology, there is a concern that trainees may become less proficient with the femoral approach. Methods A detailed questionnaire was sent out to academic General Cardiovascular and Interventional Cardiology training programs in the United States. Responses were sought from fellows-in-training and faculty regarding preferences and practice of TFA and TRA. Answers were analyzed for significant differences between trainees and trainers. Results A total of 125 respondents (75 fellows-in-training and 50 faculty) completed and returned the survey. The average grade of comfort for TFA, on a scale of 0 to 10 (10 being most comfortable), was reported to be 6 by fellows-in-training and 10 by teaching faculty (p < 0.001). TRA was the first preference in 95% of the fellows-in-training compared to 69% of teaching faculty (p 0.001). While 62% of fellows believed that they would receive the same level of training as their trainers by the time they graduate, only 35% of their trainers believed so (p 0.004). Conclusion The shift from TFA to radial first has resulted in significant concern among cardiovascular fellows-in training and the faculty regarding training in TFA. Cardiovascular training programs must be cognizant of this issue and should devise methods to assure optimal training of fellows in gaining TFA and managing femoral access-related complications. |
| first_indexed | 2024-12-14T22:04:03Z |
| format | Article |
| id | doaj.art-53ef4556d05744f6b4df26e093d40353 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-14T22:04:03Z |
| publishDate | 2021-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-53ef4556d05744f6b4df26e093d403532022-12-21T22:45:54ZengBMCBMC Cardiovascular Disorders1471-22612021-05-012111910.1186/s12872-021-02068-5Transradial versus transfemoral access for cardiac catheterization: a nationwide pilot study of training preferences and expertise in The United StatesKhalid Changal0Mubbasher Ameer Syed1Ealla Atari2Salik Nazir3Sameer Saleem4Sajjad Gul5F. N. U. Salman6Asad Inayat7Ehab Eltahawy8Department of Cardiovascular Medicine, University of ToledoDepartment of Cardiovascular Medicine, University of ToledoCollege of Medicine and Life Sciences, University of ToledoDepartment of Cardiovascular Medicine, University of ToledoDepartment of Cardiovascular Medicine, University of KentuckyInternal Medicine, St. Francis Medical Center, University of Illinois at PeoriaInternal Medicine, Mercy St. Vincent Medical CenterDepartment of Medicine, Khyber Teaching HospitalProfessor and Program Director of Cardiovascular Medicine and Interventional Cardiology, University of ToledoAbstract Background The objective was to assess current training preferences, expertise, and comfort with transfemoral access (TFA) and transradial access (TRA) amongst cardiovascular training fellows and teaching faculty in the United States. As TRA continues to dominate the field of interventional cardiology, there is a concern that trainees may become less proficient with the femoral approach. Methods A detailed questionnaire was sent out to academic General Cardiovascular and Interventional Cardiology training programs in the United States. Responses were sought from fellows-in-training and faculty regarding preferences and practice of TFA and TRA. Answers were analyzed for significant differences between trainees and trainers. Results A total of 125 respondents (75 fellows-in-training and 50 faculty) completed and returned the survey. The average grade of comfort for TFA, on a scale of 0 to 10 (10 being most comfortable), was reported to be 6 by fellows-in-training and 10 by teaching faculty (p < 0.001). TRA was the first preference in 95% of the fellows-in-training compared to 69% of teaching faculty (p 0.001). While 62% of fellows believed that they would receive the same level of training as their trainers by the time they graduate, only 35% of their trainers believed so (p 0.004). Conclusion The shift from TFA to radial first has resulted in significant concern among cardiovascular fellows-in training and the faculty regarding training in TFA. Cardiovascular training programs must be cognizant of this issue and should devise methods to assure optimal training of fellows in gaining TFA and managing femoral access-related complications.https://doi.org/10.1186/s12872-021-02068-5Radial accessFemoral accessCampeau radial paradoxRadial first |
| spellingShingle | Khalid Changal Mubbasher Ameer Syed Ealla Atari Salik Nazir Sameer Saleem Sajjad Gul F. N. U. Salman Asad Inayat Ehab Eltahawy Transradial versus transfemoral access for cardiac catheterization: a nationwide pilot study of training preferences and expertise in The United States BMC Cardiovascular Disorders Radial access Femoral access Campeau radial paradox Radial first |
| title | Transradial versus transfemoral access for cardiac catheterization: a nationwide pilot study of training preferences and expertise in The United States |
| title_full | Transradial versus transfemoral access for cardiac catheterization: a nationwide pilot study of training preferences and expertise in The United States |
| title_fullStr | Transradial versus transfemoral access for cardiac catheterization: a nationwide pilot study of training preferences and expertise in The United States |
| title_full_unstemmed | Transradial versus transfemoral access for cardiac catheterization: a nationwide pilot study of training preferences and expertise in The United States |
| title_short | Transradial versus transfemoral access for cardiac catheterization: a nationwide pilot study of training preferences and expertise in The United States |
| title_sort | transradial versus transfemoral access for cardiac catheterization a nationwide pilot study of training preferences and expertise in the united states |
| topic | Radial access Femoral access Campeau radial paradox Radial first |
| url | https://doi.org/10.1186/s12872-021-02068-5 |
| work_keys_str_mv | AT khalidchangal transradialversustransfemoralaccessforcardiaccatheterizationanationwidepilotstudyoftrainingpreferencesandexpertiseintheunitedstates AT mubbasherameersyed transradialversustransfemoralaccessforcardiaccatheterizationanationwidepilotstudyoftrainingpreferencesandexpertiseintheunitedstates AT eallaatari transradialversustransfemoralaccessforcardiaccatheterizationanationwidepilotstudyoftrainingpreferencesandexpertiseintheunitedstates AT saliknazir transradialversustransfemoralaccessforcardiaccatheterizationanationwidepilotstudyoftrainingpreferencesandexpertiseintheunitedstates AT sameersaleem transradialversustransfemoralaccessforcardiaccatheterizationanationwidepilotstudyoftrainingpreferencesandexpertiseintheunitedstates AT sajjadgul transradialversustransfemoralaccessforcardiaccatheterizationanationwidepilotstudyoftrainingpreferencesandexpertiseintheunitedstates AT fnusalman transradialversustransfemoralaccessforcardiaccatheterizationanationwidepilotstudyoftrainingpreferencesandexpertiseintheunitedstates AT asadinayat transradialversustransfemoralaccessforcardiaccatheterizationanationwidepilotstudyoftrainingpreferencesandexpertiseintheunitedstates AT ehabeltahawy transradialversustransfemoralaccessforcardiaccatheterizationanationwidepilotstudyoftrainingpreferencesandexpertiseintheunitedstates |