Cerebral Infarcts After Coronary Angiography and Percutaneous Coronary Intervention: A Prospective Propensity-Score-Adjusted Comparison of Right Radial, Left Radial, and Femoral Approaches
Highlights
- • Symptomatic and silent cerebral infarcts may occur after cardiac catheterization
- • Right radial approach may be associated with a higher risk of cerebral infarcts
- • This association is partially explained by the presence of arterial tortuosity.
- • Left radial access may be a preferable access site in patients at high risk
Abstract
Background
New cerebral infarcts (CIs) detected at magnetic resonance imaging (MRI) are reported after cardiac procedures. Clinical and procedural aspects are implicated as potential causal factors. The aim of this study was to evaluate the incidence of new CIs after coronary angiography and percutaneous coronary intervention according to the arterial access site.