Five-year experience with transradial coronary angioplasty in ST-segment-elevation myocardial infarction

Abstract Background and purpose Percutaneous coronary intervention (PCI) via radial approach has been shown to be an alternative to femoral approach in emergency cases; however, its feasibility has been questioned. This single-center study was performed to compare the outcomes and complication rates...

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Bibliographic Details
Published in:Cardiovascular revascularization medicine 2009-04, Vol.10 (2), p.73-79
Main Authors: Ruzsa, Zoltán, Ungi, Imre, Horváth, Tamás, Sepp, Róbert, Zimmermann, Zsolt, Thury, Attila, Jambrik, Zoltán, Sasi, Viktor, Tóth, Gábor, Forster, Tamás, Nemes, Attila
Format: Article
Language:English
Subjects:
Aged
Angioplasty, Balloon, Coronary - adverse effects
Angioplasty, Balloon, Coronary - instrumentation
Angioplasty, Balloon, Coronary - methods
Cardiovascular
Cardiovascular Diseases - etiology
Complication
Coronary Angiography
Female
Femoral Artery
Humans
Male
Middle Aged
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - therapy
Percutaneous coronary intervention
Platelet Aggregation Inhibitors - therapeutic use
Platelet Glycoprotein GPIIb-IIIa Complex - antagonists & inhibitors
Radial Artery
Retrospective Studies
Stents - utilization
Time Factors
Transfemoral
Transradial
Treatment Outcome
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Summary:Abstract Background and purpose Percutaneous coronary intervention (PCI) via radial approach has been shown to be an alternative to femoral approach in emergency cases; however, its feasibility has been questioned. This single-center study was performed to compare the outcomes and complication rates between transradial (TR) and transfemoral (TF) PCI in ST-segment-elevation myocardial infarction (STEMI). Methods and materials The clinical and angiographic data of 582 consecutive STEMI patients treated with PCI between 2001 and 2006 were evaluated in a retrospective study. Forty-three patients were excluded from the present study due to cardiogenic shock or rescue PCI. Patients ( n =539) were categorized into the TR group ( n =167) or the TF group ( n =372), and several parameters were evaluated to assess the advantages and drawbacks of TR access: access-site crossover, rate of access-site complications, procedure time, fluoroscopy time, X-ray area dose, major adverse cardiac events (MACE) at 1 month, and consumption of angioplasty equipment. Results In the TR group, the crossover rate to femoral access was 5%, while in the TF group, it was 0.8% ( P
ISSN:1553-8389
1878-0938
DOI:10.1016/j.carrev.2008.07.004