CRT-100.04 Radial Access And Early Complete Revascularization as Factors Associated With Lower Mortality In Patients With ACS SST

Costantini, Ricardo; Telayna, Juan Manuel

doi:10.1016/j.jcin.2018.01.015

Cited by 1 publication

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“…Trans-radial access (TRA) was introduced several decades ago by Campeau in 1989, 4 but received little adaptation among the interventional cardiologists due to pertinent challenges, such as small size of the artery, radial/brachial loop, arterial spasm, arteria lusoria and tortuous subclavian artery, availability of equipment specification for radial artery, and limited range in sizes of catheter. 5 In recent years, trans-radial arterial access gained overwhelming acceptability worldwide, even for the emergency procedures such as primary PCI, 6 , 7 , 8 owing to the fact that in trans-radial procedures, access site complications are slim to none, reduces peri-procedural morbidity and mortality, increases patient comfort, and reduces duration of hospital stay which in turn reduces treatment cost. 6 , 9 , 10 , 11 …”

Section: Introductionmentioning

confidence: 99%

“… 5 In recent years, trans-radial arterial access gained overwhelming acceptability worldwide, even for the emergency procedures such as primary PCI, 6 , 7 , 8 owing to the fact that in trans-radial procedures, access site complications are slim to none, reduces peri-procedural morbidity and mortality, increases patient comfort, and reduces duration of hospital stay which in turn reduces treatment cost. 6 , 9 , 10 , 11 …”

Section: Introductionmentioning

confidence: 99%

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Radial or femoral access in primary percutaneous coronary intervention (PCI): Does the choice matters?

Batra

Rai

Khan

et al. 2020

Indian Heart Journal

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Background This study was conducted with the aim of providing a quantitative appraisal of clinical outcomes of trans-radial access for primary percutaneous coronary interventions (PCI) in patients with ST-segment evaluation myocardial infarction (STEMI). Methods In this study, we compared two propensity-matched cohorts of patients who underwent primary PCI via trans-radial (TRA) and trans-femoral access (TFA) in a 1:1 ratio. The profile of two cohorts was matched for gender, age, and body mass index, diabetes, hypertension, family history, and smoking. The outcomes of primary PCI were compared for the two cohorts which included all-cause in-hospital mortality, heart failure, re-infarction, cardiogenic shock, bleeding, transfusion, cerebrovascular accident, and dialysis. Results This analysis was performed on a total of 2316 patients with 1158 patients each in the TRA and TFA group. We observed significantly lower rates of mortality, 0.8% (9) vs. 3.5% (41); p < 0.001 and bleeding, 0.5% (6) vs.1.6% (19); p = 0.009 with shorter hospital stay, 1.61 ± 1.39 vs. 1.98 ± 1.5 days, in trans-radial vs. trans-femoral. However, both fluoroscopic time and contrast volume were significantly higher in the TRA as compared to TFA group 15.57 ± 8.16 vs. 12.79 ± 7.82 min; p < 0.001 and 143.22 ± 45.33 vs. 133.78 ± 45.97; p < 0.001 respectively. Conclusions Compared with TFA access, TRA for primary PCI is safe for patients with STEMI, it was found to be associated with a significant reduction in in-hospital mortality and bleeding complications.

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