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  • Transradial Versus Transfemoral Access for Percutaneous Coronary Intervention of Unprotected Left Main Coronary Artery Stenosis: A Systematic Review and Meta-Analysis

    Highlights

    • Transradial access is safe and feasible for percutaneous coronary intervention of unprotected left main coronary artery stenosis.
    • Transradial and transfemoral access have a comparable procedural success rate.
    • Transradial access is associated with reduced access site-related bleeding complications as compared to transfemoral access.

    Abstract

    Introduction

    PCI of ULMS is frequently performed through TFA because of technical complexity and safety concern. Studies have shown comparable efficacy and safety of TRA versus TFA, however, these studies are few in number. We intended to compare the clinical outcomes between transradial access (TRA) and transfemoral access (TFA) in patients undergoing percutaneous coronary intervention (PCI) for unprotected left main coronary artery stenosis (ULMS) by performing a meta-analysis.

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