Document Detail

Comparison of door-to-balloon times for primary PCI using transradial versus transfemoral approach.
MedLine Citation:
PMID:  20517957     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The objective of this study was to compare door-to-balloon times and other variables in ST-segment elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (PCI) using transfemoral or transradial approaches. BACKGROUND: Transradial PCI has been shown to lower the risk of access site complications but the procedure is not applied to STEMI patients, due to concerns of procedural complexity adversely affecting prompt reperfusion. There is paucity of real-world data comparing TRI with TFI in patients with STEMI. METHODS: Three hundred sixteen consecutive patients with STEMI undergoing primary PCI were studied. Patients were divided in two groups, Group I (n = 204) undergoing PCI transfemorally and Group II (n = 109) patients transradially. Demographic data, door-to-balloon times, procedural variables, predischarge adverse events, access site complications, and 1 year follow-up major adverse cardiac events (MACE) were recorded. RESULTS: Door-to-balloon time was 72 +/- 14 min in Group I compared with 70 +/- 17 min in Group II, the difference was not statistically significant (t = 1.096, P > 0.27). Group II patients had significantly fewer access site complications compared with Group I (20 vs. 1 patient, chi(2) = 10.8, P < 0.05). Demographics, predischarge adverse events, and MACE at 1 year follow-up were comparable between the two groups. CONCLUSIONS: Transradial approach to primary PCI provides similar door-to-balloon times to transfemoral approach, and significantly lowers access site related complications, in patients presenting with STEMI.
Samir Pancholy; Tanuj Patel; Kintur Sanghvi; Marie Thomas; Tejas Patel
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  75     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-02     Completed Date:  2010-09-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  991-5     Citation Subset:  IM    
The Commonwealth Medical College, Scranton, PA, USA.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects,  methods*,  mortality
Chi-Square Distribution
Femoral Artery*
Health Services Accessibility*
Middle Aged
Myocardial Infarction / mortality,  therapy*
Outcome and Process Assessment (Health Care)*
Prospective Studies
Radial Artery*
Risk Assessment
Time Factors
Transportation of Patients*
Treatment Outcome
Comment In:
Catheter Cardiovasc Interv. 2010 Jun 1;75(7):996   [PMID:  20517958 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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