Comparison between radial versus femoral percutaneous coronary intervention access in Indonesian hospitals, 2017–2018: A prospective observational study of a national registry

Alkatiri, Amir Aziz; Firman, Doni; Haryono, Nur; Yonas, Emir; Pranata, Raymond; Fahri, Ismir; Artha, I Made Junior Rina; Pratama, Vireza; Widodo, Wishnu Aditya; Taufiq, Nahar; Alkatiri, Abdul Hakim; Ng, Sunanto; Sulastomo, Heru; Soerianata, Sunarya

doi:10.1016/j.ijcha.2020.100488

Cited by 11 publications

(7 citation statements)

References 20 publications

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“…The study focused on evaluating the impact of radial versus femoral access on vascular complications and patient outcomes in complex percutaneous coronary intervention (PCI). Our findings suggested a higher incidence of adverse events associated with femoral access, which corroborates previous studies indicating a potential increase in risk with this approach (10). Although initial analyses indicated a higher rate of adverse events among patients in the femoral group, this disparity may be attributable to the more frequent assignment of patients with greater comorbidities and complex lesions to femoral access.…”

Section: Discussionsupporting

confidence: 88%

“…The similar prevalence of key cardiovascular risk factors such as dyslipidemia, hypertension, and diabetes mellitus across both groups confirmed that the cohorts were well-matched, thus reinforcing that observed differences in outcomes were likely due to the choice of access site rather than baseline patient characteristics. The study conducted by Amir Aziz Alkatiri et al supported our findings, emphasizing the critical role of access site selection in influencing patient outcomes in complex PCI (10).…”

Section: Discussionsupporting

confidence: 87%

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The Impact of Radial Vs Femoral Access on Vascular Complications and Patients Outcomes in Complex PCI

Ammar Azam Cheema,

Saleha Abbas,

Muhammad Shahid

et al. 2024

JHRR

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Background: Percutaneous coronary intervention (PCI) is a primary treatment modality for coronary artery disease, particularly in complex cases involving multivessel disease, chronic total occlusions, or bifurcation lesions. The choice of vascular access site—radial versus femoral—can significantly impact patient outcomes and the incidence of vascular complications. Recent trends favor radial access due to its potential advantages in safety and recovery. Objective: To evaluate the impact of radial versus femoral access on vascular complications and patient outcomes in complex PCI. Methods: This randomized control trial was conducted at the Chaudhary Pervaiz Elahi Institute of Cardiology, Wazirabad, Pakistan, over a six-month period from September 2023 to February 2024. A total of 350 patients undergoing complex PCI were enrolled, with 210 assigned to radial access and 140 to femoral access. Baseline characteristics, including age, BMI, and prevalent comorbidities (dyslipidemia, hypertension, and diabetes mellitus), were recorded. Major outcomes measured included periprocedural myocardial infarction, in-hospital mortality, and stent thrombosis. Statistical analysis was performed using SPSS Version 26. Results: The mean age of participants was 52.90 ± 8.07 years. No significant differences were found in BMI and comorbid conditions between the groups. In-hospital mortality was 1.4% in the radial group compared to 4.3% in the femoral group (P=0.05). Rates of periprocedural myocardial infarction were similar between groups (0.5% radial vs 0.7% femoral, P=0.77). Stent thrombosis was observed in 0.5% of the radial group and was absent in the femoral group. Conclusion: Radial access in complex PCI was associated with lower in-hospital mortality compared to femoral access, with similar rates of myocardial infarction and stent thrombosis. These findings suggest that radial access may provide a safer alternative, supporting its increasing use in clinical practice.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 87%

The Impact of Radial Vs Femoral Access on Vascular Complications and Patients Outcomes in Complex PCI

Ammar Azam Cheema,

Saleha Abbas,

Muhammad Shahid

et al. 2024

JHRR

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“…Radial access is the preferred choice because it is associated with lower mortality and complication rates across the spectrum of patients with CAD [ 12 ]. In Indonesia, radial access was reported to be used in 74.5% of the cases in nine participating centers [ 13 ]. Though this high uptake was not found in other registries, such as the SWEDEHEART registry, in which only 54.2% has radial access [ 14 ], in Germany the Quik registry showed a steady increase in the use radial access (from 13% to 49%) over the period from 2012 to 2018 [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical features, socioeconomic status, management, short and long-term outcomes of patients with acute myocardial infarction: Phase I results of PEACE MENA registry

Al Saleh,

Jamee,

Sulaiman

et al. 2024

PLoS ONE

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Background The Program for the Evaluation and Management of Cardiac Events in the Middle East and North Africa (PEACE MENA) is a prospective registry program in Arabian countries that involves in patients with acute myocardial infarction (AMI) or acute heart failure (AHF). Methods This prospective, multi-center, multi-country study is the first report of the baseline characteristics and outcomes of inpatients with AMI who were enrolled during the first 14-month recruitment phase. We report the clinical characteristics, socioeconomic, educational levels, and management, in-hospital, one month and one-year outcomes. Results Between April 2019 and June 2020, 1377 patients with AMI were enrolled (79.1% males) from 16 Arabian countries. The mean age (± SD) was 58 ± 12 years. Almost half of the population had a net income < $500/month, and 40% had limited education. Nearly half of the cohort had a history of diabetes mellitus, hypertension, or hypercholesterolemia; 53% had STEMI, and almost half (49.7%) underwent a primary percutaneous intervention (PCI) (lowest 4.5% and highest 100%). Thrombolytics were used by 36.2%. (Lowest 6.45% and highest (90.9%). No reperfusion occurred in 13.8% of patients (lowest was 0% and highest 72.7%).Primary PCI was performed less frequently in the lower income group vs. high income group (26.3% vs. 54.7%; P<0.001). Recurrent ischemia occurred more frequently in the low-income group (10.9% vs. 7%; P = 0.018). Re-admission occurred in 9% at 1 month and 30% at 1 year, whereas 1-month mortality was 0.7% and 1-year mortality 4.7%. Conclusion In the MENA region, patients with AMI present at a young age and have a high burden of cardiac risk factors. Most of the patients in the registry have a low income and low educational status. There is heterogeneity among key performance indicators of AMI management among various Arabian countries.

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“…Other technical aspects of PCI have been demonstrated to significantly affect patient outcomes. The radial approach has emerged as the default access site in acute coronary syndrome (ACS) patients undergoing primary PCI, in whom a lower rate of mortality and bleeding was described compared to femoral access PCI [21] . According to European Cardiology Society (ESC) guidelines on STEMI management [13] , routine thrombus aspiration is not recommended.…”

Section: Acute Myocardial Infarctionmentioning

confidence: 99%

Recent highlights on acute myocardial infarction and takotsubo syndrome from the International Journal of Cardiology: Heart & Vasculature

Tedeschi

Ammirati

Contri

et al. 2022

IJC Heart & Vasculature

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Comparison between radial versus femoral percutaneous coronary intervention access in Indonesian hospitals, 2017–2018: A prospective observational study of a national registry

Cited by 11 publications

References 20 publications

The Impact of Radial Vs Femoral Access on Vascular Complications and Patients Outcomes in Complex PCI

The Impact of Radial Vs Femoral Access on Vascular Complications and Patients Outcomes in Complex PCI

Clinical features, socioeconomic status, management, short and long-term outcomes of patients with acute myocardial infarction: Phase I results of PEACE MENA registry

Recent highlights on acute myocardial infarction and takotsubo syndrome from the International Journal of Cardiology: Heart & Vasculature

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