Improving outcomes in primary percutaneous coronary intervention: Transradial is worth the time

Studies demonstrating its superiority involve interventional cardiologists who are extremely proficient with the radial approach, and the size of the treatment effect--up to 4% absolute reduction in one trial8--appears larger than would be expected from simply reducing access site bleeding. [...]even in expert hands, the radial approach increases procedure time compared with the femoral approach, thereby potentially affecting the metric of D2B.