2001–2 | 2003–4 | 2005–6 | 2007–8 | p Value | |
No of procedures | 392 | 565 | 727 | 616 | <0.001 |
TRA–PPCI not attempted, n (%) | 36 (9.2) | 30 (5.3) | 17 (2.3) | 8 (1.3) | |
Reason to refrain from TRA, n | |||||
Recent TRA | 5 | 7 | 3 | 3 | |
Radial artery not palpable | 4 | 5 | 1 | 0 | |
Anatomical reasons | 6 | 5 | 4 | 2 | |
Negative Allen's test | 6 | 1 | 0 | 0 | |
Femoral sheath in situ | 2 | 2 | 3 | 0 | |
Fellow-in-training | 4 | 1 | 0 | 0 | |
Cardiac arrest | 3 | 2 | 1 | 0 | |
Previous CABG | 0 | 1 | 1 | 2 | |
Need for temporary pacing | 1 | 2 | 0 | 0 | |
Previous failure of TRA | 0 | 0 | 1 | 0 | |
Not specified | 5 | 4 | 3 | 1 |
In case of recent TRA, a pressure bandage was still applied in the majority of cases. Anatomical reasons included Cimino shunt, broken arm, etc. CABG, coronary artery bypass grafting; PPCI, primary percutaneous coronary intervention; TRA, transradial approach.