Coronary Artery Disease
Does a vascular closure device affect the imbalance in complications between radial and femoral access?
Conflict of interest: Nothing to report.
Key Points
- There exists a robust evidence base of superior outcomes in ST-Elevation Myocardial Infarction (STEMI) with radial as opposed to femoral access
- Benefit of vascular closure devices to decrease femoral access complications remains a matter of contention; the evidence base is largely incomplete
- Vascular site complications and access site related bleeding may be as much, or more affected by access technique as by method of vascular closure
