Document Detail


Transradial primary percutaneous coronary intervention - experience from a tertiary care cardiac centre.
MedLine Citation:
PMID:  23901674     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To determine the outcomes of primary percutaneous coronary intervention via transradial approach in a tertiary care cardiac centre.
METHODS: The study retrospectively reviewed the medical records of 160 consecutive patients who presented to Tabba Heart Institute, a private-sector facility in Karachi, between January 2009 and January 2011 with acute ST-elevation myocardial infarction and treated with primary percutaneous coronary intervention via transradial approach. The primary end-points were in-hospital mortality and procedural success. Secondary end-points were access site bleeding complication and 30-day outcomes (mortality, myocardial infarction and congestive cardiac failure).
RESULTS: The mean age of the patients was 55.9+/-11.7 years and 126 (79%) were males. The procedural success was 98% (n=157). Three (1.8%) patients died during hospitalisation. Forearm haematoma (>5cm) was observed in three (1.8%) patients. No mortality was observed in 30-day follow-up after discharge, while myocardial infarction and congestive cardiac failure were 1.25% (n=2) and 4% (n=6) respectively.
CONCLUSIONS: High procedural success and favourable clinical outcomes matching the international data can be achieved in our patients undergoing primary percutaneous coronary intervention via transradial approach.
Authors:
Ayaz Hussain Shaikh; Bashir Hanif; Asad Pathan; Shahrukh Hashmani; Mohsin Raza; Waqar Khan; Syed Muhammad Faisal Hussain; Syed Muhammad Saad Hussain; Sumaira Nasir
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  JPMA. The Journal of the Pakistan Medical Association     Volume:  63     ISSN:  0030-9982     ISO Abbreviation:  J Pak Med Assoc     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-08-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501162     Medline TA:  J Pak Med Assoc     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  731-4     Citation Subset:  IM    
Affiliation:
Tabba Heart Institute, Karachi. ahsdr1977@yahoo.com
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