OUTCOMES OF TRANSRADIAL APPROACH IN PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTION

Objective: An experience to evaluate the outcomes, feasibility, effectiveness and safety of transradial approach practice in patients undergoing primary percutaneous coronary intervention for acute ST elevation Myocardial infarction in Army Cardiac Centre. Study Design: Descriptive cross-sectiona...

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Autores principales:	Amna Rashdi, Ayaz Ahmad, Jahanzab Ali, Ahmad Usman, Syed Khurram Shahzad, Atiq Ur Rahman
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	primary percutaneous coronary intervention st elevation myocardial infarction transradial approach Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/49691f67d8784e3fb5ed2b1b211749c8
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spelling	oai:doaj.org-article:49691f67d8784e3fb5ed2b1b211749c82021-12-02T19:12:14ZOUTCOMES OF TRANSRADIAL APPROACH IN PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTIONdoi.org/10.51253/pafmj.v70iSuppl-4.60170030-96482411-8842https://doaj.org/article/49691f67d8784e3fb5ed2b1b211749c82020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6017https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: An experience to evaluate the outcomes, feasibility, effectiveness and safety of transradial approach practice in patients undergoing primary percutaneous coronary intervention for acute ST elevation Myocardial infarction in Army Cardiac Centre. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Army Cardiac Centre, Lahore, from Jan 2020 to Mar 2020. Methodology: All patients undergoing primary percutaneous coronary intervention via transradial approach for acute ST elevation Myocardial infarction were included. Informed consent was taken signed. Demographic characteristics, risk factors, time variables like arterial access time, door to balloon time and procedural success was determined. Results: Out of enrolled patients in study, frequency of males and females were 49 (82%) and 9 (18%) respectively. The mean age was 57 ± 10.86 years ranging from 30 to 75 years. On admission, 25 (50%) were hypertensives, 20 (40%) had diabetes and 18 (36%) were smokers. The initial choice for primary percutaneous coronary intervention was transradial approach in all patients, right side 49 (98%) and left side 1 (2%). Due to failure to achieve radial access transfemoral and homolateral ulnar approach was adopted 2 (4%) and 1 (2%) respectively leading to 96% success and 4% failure for transradial access. The main infarcted artery was LAD 31 (62%) followed RCA 15 (30%) Time to arterial access time was 2 mins, door to balloon 34 mins. Eighty percent complication free transradial approach was achieved, 8 (16%) patients had pain and 2 (4%) developed hematoma. Conclusion: Our results proved Transradial approach for primary PCI as a safe, feasible and cost effective procedure.Amna RashdiAyaz AhmadJahanzab AliAhmad UsmanSyed Khurram ShahzadAtiq Ur RahmanArmy Medical College Rawalpindiarticleprimary percutaneous coronary interventionst elevation myocardial infarctiontransradial approachMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 4, Pp 745-751 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	primary percutaneous coronary intervention st elevation myocardial infarction transradial approach Medicine R Medicine (General) R5-920
spellingShingle	primary percutaneous coronary intervention st elevation myocardial infarction transradial approach Medicine R Medicine (General) R5-920 Amna Rashdi Ayaz Ahmad Jahanzab Ali Ahmad Usman Syed Khurram Shahzad Atiq Ur Rahman OUTCOMES OF TRANSRADIAL APPROACH IN PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTION
description	Objective: An experience to evaluate the outcomes, feasibility, effectiveness and safety of transradial approach practice in patients undergoing primary percutaneous coronary intervention for acute ST elevation Myocardial infarction in Army Cardiac Centre. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Army Cardiac Centre, Lahore, from Jan 2020 to Mar 2020. Methodology: All patients undergoing primary percutaneous coronary intervention via transradial approach for acute ST elevation Myocardial infarction were included. Informed consent was taken signed. Demographic characteristics, risk factors, time variables like arterial access time, door to balloon time and procedural success was determined. Results: Out of enrolled patients in study, frequency of males and females were 49 (82%) and 9 (18%) respectively. The mean age was 57 ± 10.86 years ranging from 30 to 75 years. On admission, 25 (50%) were hypertensives, 20 (40%) had diabetes and 18 (36%) were smokers. The initial choice for primary percutaneous coronary intervention was transradial approach in all patients, right side 49 (98%) and left side 1 (2%). Due to failure to achieve radial access transfemoral and homolateral ulnar approach was adopted 2 (4%) and 1 (2%) respectively leading to 96% success and 4% failure for transradial access. The main infarcted artery was LAD 31 (62%) followed RCA 15 (30%) Time to arterial access time was 2 mins, door to balloon 34 mins. Eighty percent complication free transradial approach was achieved, 8 (16%) patients had pain and 2 (4%) developed hematoma. Conclusion: Our results proved Transradial approach for primary PCI as a safe, feasible and cost effective procedure.
format	article
author	Amna Rashdi Ayaz Ahmad Jahanzab Ali Ahmad Usman Syed Khurram Shahzad Atiq Ur Rahman
author_facet	Amna Rashdi Ayaz Ahmad Jahanzab Ali Ahmad Usman Syed Khurram Shahzad Atiq Ur Rahman
author_sort	Amna Rashdi
title	OUTCOMES OF TRANSRADIAL APPROACH IN PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTION
title_short	OUTCOMES OF TRANSRADIAL APPROACH IN PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTION
title_full	OUTCOMES OF TRANSRADIAL APPROACH IN PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTION
title_fullStr	OUTCOMES OF TRANSRADIAL APPROACH IN PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTION
title_full_unstemmed	OUTCOMES OF TRANSRADIAL APPROACH IN PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTION
title_sort	outcomes of transradial approach in patients undergoing primary percutaneous coronary intervention for acute st segment elevation myocardial infarction
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/49691f67d8784e3fb5ed2b1b211749c8
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OUTCOMES OF TRANSRADIAL APPROACH IN PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTION

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