LEVELS OF PAIN IN PATIENTS UNDERGOING CORONARY INVASIVE PROCEDURES IN TRANS-RADIAL VERSUS TRANS-FEMORAL APPROACHES: A CROSS-SECTIONAL STUDY

Abstract

Trends for invasion site for coronary interventions are shifting from femoral to radial approach because of the advantageous effects. Assessment of pain associated with puncture site in both approaches (radial/femoral) is important. Purpose of this study is to find the difference in post procedural access site pain in patients undergoing coronary invasive procedures in trans-radial versus trans-femoral approach and its association with age, gender and BMI. A cross-sectional study was conducted with 75 randomly selected patients who underwent coronary invasive procedures. A structured questionnaire used for demographic and biophysical data, procedural data and Numerical Pain Rating Scale to assess the pain. Out of 75 patients 42 patients received trans-femoral access and 33 received trans-radial access. Post procedural access site pain in trans-femoral site felt at mild and moderate level 64.2% vs. 23.8 % respectively. While on same rating scale in radial group felt at mild and moderate level 42.4% vs. 33.3 % with p-value 0.611 (>0.05). The mean difference in gender with males 69.3 % versus females 30.6 % showed from analysis that both sexes felt pain at mild level on pain rating scale resulting p-value 0.046 (< 0.05). Statistically significant level of pain was associated with obese patients resulting p -value 0.299 (> 0.05).
Patient undergoing coronary intervention through femoral site invasion experience more post procedural access site pain than radial site invasion. Pain level is increased in obese and aged population.