| Transradial primary angioplasty and stenting in Indian patients with acute myocardial infarction: acute results and 6-month follow-up. | |
| | |
MedLine Citation:
|
PMID: 16521638 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Coronary angioplasty and stent implantation is effective as primary intervention in acute myocardial infarction. Because of fewer puncture site complications and improved patient comfort, transradial access has been increasingly used as an alternative to transfemoral access for percutaneous coronary interventions. METHODS AND RESULTS: We studied 103 patients (94 men, 9 women: mean age 52.5 +/- 11.96 years) with a diagnosis of acute myocardial infarction (<12 hours after onset), who underwent primary percutaneous coronary intervention. Transradial access was used in all patients with a normal Allen's test and transfemoral access was used additionally only if intra-aortic balloon counterpulsation was required. Follow-up duration was 6 months. Transradial access was successfully achieved in all patients. Radial artery cannulation took <2 min in more than 85% patients. During percutaneous coronary intervention, cannulation to balloon inflation times and total procedure times were 11.3 +/- 5.2 min and 19.9 +/- 10.8 min, respectively. Stents were implanted in 99 (96.1%) patients andplain balloon angioplastywas performed in 3.9%. The primary success rate was 98.1%, with no major bleeding complications. Total length of hospitalization averaged 2.4 +/- 0.8 days. In-hospital major adverse clinical events rate was 5.9%. Six-month clinical follow-up was achieved for 84 (86.6%) patients. Six (7.1%) patients died during follow-up. Follow-up coronary angiography was performed in 22 (26.2%) patients. After 6 months, 7 patients required revascularizationof the target lesion. The rate of survival without myocardial infarction, bypass surgery or repeat coronary angioplasty was 88.5% at 6 months. CONCLUSIONS: Transradial access may represent a safe and feasible technique for performing primary percutaneous coronary intervention with good acute results and without major bleeding complications. |
| | |
Authors:
|
Alok Ranjan; Tejas M Patel; Sanjay C Shah; Hemant Malhotra; Rajni Patel; Nishith Vayada; Rasesh Pothiwala; Keith Fonseca; Narendra S Tanwar |
Related Documents
:
|
15093868 - Preprocedural timi flow and mortality in patients with acute myocardial infarction trea... 10148978 - Intra-aortic balloon counterpulsation support for elective coronary angioplasty in the ... 2524268 - Acute reocclusion during percutaneous transluminal coronary angioplasty: immediate and ... 8644638 - Effect of delayed percutaneous transluminal coronary angioplasty of occluded coronary a... 12139388 - Circulatory support for opcab procedures. 20063618 - Collaborative working empowers staff to cut the number of cardiac arrests. |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Indian heart journal Volume: 57 ISSN: 0019-4832 ISO Abbreviation: Indian Heart J Publication Date: 2005 Nov-Dec |
Date Detail:
|
Created Date: 2006-03-08 Completed Date: 2006-04-13 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0374675 Medline TA: Indian Heart J Country: India |
Other Details:
|
Languages: eng Pagination: 681-7 Citation Subset: IM |
Affiliation:
|
Department of Cardiovascular Sciences, Sterling Hospital, Ahlmedabad. grayranjan@yahoo.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Angioplasty, Transluminal, Percutaneous Coronary / instrumentation, methods* Cohort Studies Female Follow-Up Studies Humans India Male Middle Aged Myocardial Infarction / diagnosis, mortality, therapy* Radial Artery* Retrospective Studies Risk Assessment Stents* Survival Rate Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Prevention of atherosclerosis progression using atorvastatin in normolipidemic coronary artery disea...
Next Document: Port-access approach for cardiac surgical procedures: our experience in 776 patients.