Marlies M. Kok|Marieke G.M. Weernink|Clemens von Birgelen|Anneloes Fens|Liefke C. van der Heijden|Janine A. van Til
Patient preference for radial versus femoral vascular access for elective coronary procedures: The PREVAS study
Medisch Spectrum Twente|University of Twente|Medisch Spectrum Twente|University of Twente|University of Twente|Medisch Spectrum Twente|University of Twente
objectives explore patient preference vascular access site percutaneous coronary procedures perceived importance benefits risks transradial access tra transfemoral access tfa assessed addition direct preference vascular access preference shared decision making sdm evaluated background tra gained significant ground tfa last decades surveys patient preference mostly performed dedicated tra trials methods prevas study clinicaltrialsgov nct02625493 stated preference elicitation method bestworst scaling bws used determine patient preference six treatment attributes bleeding switch accesssite postprocedural vessel quality mobilization comfort overnight stay based softwaregenerated treatment scenarios 142 patients indicated characteristics perceived least important treatment choice bestminusworst scores attribute importance calculated results bleeding risk considered important attribute importance 313 followed length hospitalization 226 mobilization202 patients preferred approach current procedure 859 however 711 patients experience access routes favored tra p lt 0001 patients 380 appreciated sdm balanced patient cardiologist conclusions patients appreciate lower bleeding risk early ambulation factors favoring tra previous experience single access route major impact preference experience routes generally resulted preference tra patients prefer balanced sdm 2017 authors catheterization cardiovascular interventions published wiley periodicals inc