Comparison of Safety and Effectiveness Between Right Versus Left Radial Arterial Access in Primary Percutaneous Coronary Intervention for Acute ST Segment Elevation Myocardial Infarction - 18/04/17
, Mohamed ElMaghawry, MD, PhD b, Mohamed Hassan, MD a, Hussien Heshmat Kassem, MD a, Karim Said, MD a, Amr AbdelAziz Elfaramawy, MD aRésumé |
Background |
Transradial approach (TRA) is now considered the standard of care in many centres for elective and primary percutaneous intervention (PCI). The use of the radial approach in ST segment elevation myocardial infarction (STEMI) patients has been associated with a significant reduction in major adverse cardiac events. However, it is still unclear if the side of radial access (right vs. left) has impact on safety and effectiveness of TRA in primary PCI. So this study was conducted to compare the safety, feasibility, and outcomes of right radial access (RRA) vs. left radial access (LRA) in the setting of primary PCI.
Methods |
We retrospectively analysed the data of 400 consecutive patients presenting to our institution with STEMI for whom primary PCIs were performed via RRA and LRA.
Results |
Mean age of the whole studied population was 57±12.8 years, with male predominance (77.2%). There were 202 cases in the RRA group and 198 in the LRA group, with no significant difference in demographics and clinical characteristics for patients included in both groups. There was no significant difference in procedure success rate (97.5% for RRA vs. 98.4% for LRA; P=0.77). In addition, no significant difference between both approaches was observed in the contrast volume, number of catheters, fluoroscopy time (FT), needle-to-balloon time, post-procedure vascular complications, in hospital reinfarction, stroke/transient ischaemic attack (TIA) or death.
Conclusion |
Right radial access and LRA are equally safe and effective in the setting of primary PCI. Both approaches have a high success rate and comparable needle-to-balloon time.
Le texte complet de cet article est disponible en PDF.Keywords : Primary PCI, Radial access, STEMI
Abbreviations : Transradial approach, Right radial access, Left radial access, ST segment elevation myocardial infarction, Percutaneous coronary intervention, Coronary artery bypass graft, Myocardial infarction, Left ventricular ejection fraction, Fluoroscopy time, Transient ischaemic attack, Transfemoral approach, Thrombolysis in myocardial infarction
Plan
Vol 26 - N° 1
P. 35-40 - janvier 2017 Retour au numéro
Article précédent
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