This study aimed to investigate the preferences of patients who underwent both transradial access (TRA) and transfemoral access for percutaneous coronary interventions (PCIs). The primary focus was on understanding patient preferences and satisfaction with each method to contribute insights into the choice of arterial access in coronary interventions. A single-center prospective study was conducted, including patients who had previously undergone either femoral or radial access for PCI and subsequently chose the alternative access for a second procedure. A comprehensive questionnaire with 13 inquiries was administered to 100 eligible patients, covering aspects such as procedural comfort, pain, embarrassment, and recovery time. The study received ethical approval, and informed consent was obtained from all participants. Among the 100 surveyed patients, all of whom had experienced both TRA and transfemoral access, a unanimous preference for TRA was observed. Patients reported TRA as less stressful, less embarrassing, and less painful both peri- and post-procedurally. Notably, 98% of participants indicated faster recovery and earlier feeding after TRA angiography. No major complications were reported, supporting the safety of TRA. The findings strongly advocate for transradial access as the preferred method for coronary interventions, emphasizing the importance of patient satisfaction in choosing arterial access. The study underscores TRA’s advantages in terms of patient comfort, recovery time, and overall preference, suggesting its incorporation as a routine method for PCI procedures.

本研究旨在调查接受经桡动脉入路 (TRA) 和经股动脉入路的患者对经皮冠状动脉介入治疗 (PCI) 的偏好。主要重点是了解患者对每种方法的偏好和满意度，以深入了解冠状动脉介入治疗中动脉通路的选择。进行了一项单中心前瞻性研究，研究对象包括之前接受过股骨或桡骨途径 PCI 并随后选择替代途径进行第二次手术的患者。对 100 名符合条件的患者进行了包含 13 项询问的综合调查问卷，涵盖手术舒适度、疼痛、尴尬和恢复时间等方面。该研究获得了伦理批准，并获得了所有参与者的知情同意。在 100 名接受调查的患者中，所有患者都经历过 TRA 和经股动脉入路，观察到一致偏爱 TRA。患者报告 TRA 在术前和术后的压力、尴尬和疼痛均较小。值得注意的是，98% 的参与者在 TRA 血管造影后表示恢复更快，进食更早。没有报告重大并发症，支持 TRA 的安全性。研究结果强烈主张经桡动脉入路作为冠状动脉介入治疗的首选方法，强调患者满意度在选择动脉入路方面的重要性。该研究强调了 TRA 在患者舒适度、恢复时间和总体偏好方面的优势，建议将其纳入 PCI 手术的常规方法。