Clinical investigation of transradial access for emergent percutaneous coronary intervention in patients with acute myocardial infarction

Xuguang Qin,1 Weiguo Xiong,1 Li Wang,1 Enben Guan,2 Chunpeng Lu1 1Department of Cardiology, First Affiliated Hospital of Tsinghua University, Beijing, People's Republic of China; 2Department of Pediatric, The Affiliated Hospital of Qingdao Medical College, Shandong Province, People's...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Qin X, Xiong W, Wang L, Guan E, Lu C
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Percutaneous Coronary Intervention Acute Myocardial Infarction Radial Artery; Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/681c405055604317bdbf2dec1ea01f74
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:681c405055604317bdbf2dec1ea01f74
record_format	dspace
spelling	oai:doaj.org-article:681c405055604317bdbf2dec1ea01f742021-12-02T00:22:29ZClinical investigation of transradial access for emergent percutaneous coronary intervention in patients with acute myocardial infarction1178-1998https://doaj.org/article/681c405055604317bdbf2dec1ea01f742013-08-01T00:00:00Zhttps://www.dovepress.com/clinical-investigation-of-transradial-access-for-emergent-percutaneous-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Xuguang Qin,1 Weiguo Xiong,1 Li Wang,1 Enben Guan,2 Chunpeng Lu1 1Department of Cardiology, First Affiliated Hospital of Tsinghua University, Beijing, People's Republic of China; 2Department of Pediatric, The Affiliated Hospital of Qingdao Medical College, Shandong Province, People's Republic of China Background: Use of intensive anticoagulation and antiplatelet therapy in acute myocardial infarction (AMI) potentially increases the risk of bleeding complications during percutaneous coronary intervention via the transfemoral route. Recently, the transradial access has been intensively employed as an alternative means for diagnostic and interventional procedures. A low incidence of vascular access site bleeding complications suggests that the transradial access is a safe alternative to the transfemoral technique in patients with AMI. The safety and efficacy of transradial access for emergent percutaneous coronary intervention in patients with AMI has not been investigated in the People's Republic of China. Methods: We analyzed data from our single-center registry on 596 consecutive patients between October 2003 and October 2010. The patients were retrospectively divided into a transradial group (n = 296) and a transfemoral group (n = 300). A dedicated doctor was appointed to collect the following data: puncture time, coronary angiography time, percutaneous coronary intervention time, X-ray exposure time, duration of hospitalization, and complication rates associated with puncture, such as puncture site bleeding, hematoma, pseudoaneurysm, and major adverse cardiac events. Results: There were no significant differences in baseline characteristics and angiographic findings between the two groups. There were also no significant differences in coronary angiography time (8.2 ± 2.4 versus 7.6 ± 2.0 minutes), percutaneous coronary intervention time (30 ± 6.8 versus 29.6 ± 8.1 minutes), or X-ray exposure time (4.6 ± 1.4 versus 4.4 ± 1.3 minutes) between the groups. There were significant differences in puncture time (4.4 ± 1.6 versus 2.4 ± 0.8 minutes) and duration of hospitalization (3.2 ± 1.6 versus 5.4 ± 1.8 days) between the groups (P < 0.001). The complication rate using transradial access was 2.03% (6/296) versus 6.0% (18/300) using transfemoral access (P < 0.0001). Conclusion: Transradial access for emergent percutaneous coronary intervention is safe and effective in patients with AMI, and it is suggested that this route could be used more widely in these patients. Keywords: percutaneous coronary intervention, vascular access, radial artery, stent deploymentQin XXiong WWang LGuan ELu CDove Medical PressarticlePercutaneous Coronary InterventionAcute Myocardial InfarctionRadial Artery;GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 1139-1142 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Percutaneous Coronary Intervention Acute Myocardial Infarction Radial Artery; Geriatrics RC952-954.6
spellingShingle	Percutaneous Coronary Intervention Acute Myocardial Infarction Radial Artery; Geriatrics RC952-954.6 Qin X Xiong W Wang L Guan E Lu C Clinical investigation of transradial access for emergent percutaneous coronary intervention in patients with acute myocardial infarction
description	Xuguang Qin,1 Weiguo Xiong,1 Li Wang,1 Enben Guan,2 Chunpeng Lu1 1Department of Cardiology, First Affiliated Hospital of Tsinghua University, Beijing, People's Republic of China; 2Department of Pediatric, The Affiliated Hospital of Qingdao Medical College, Shandong Province, People's Republic of China Background: Use of intensive anticoagulation and antiplatelet therapy in acute myocardial infarction (AMI) potentially increases the risk of bleeding complications during percutaneous coronary intervention via the transfemoral route. Recently, the transradial access has been intensively employed as an alternative means for diagnostic and interventional procedures. A low incidence of vascular access site bleeding complications suggests that the transradial access is a safe alternative to the transfemoral technique in patients with AMI. The safety and efficacy of transradial access for emergent percutaneous coronary intervention in patients with AMI has not been investigated in the People's Republic of China. Methods: We analyzed data from our single-center registry on 596 consecutive patients between October 2003 and October 2010. The patients were retrospectively divided into a transradial group (n = 296) and a transfemoral group (n = 300). A dedicated doctor was appointed to collect the following data: puncture time, coronary angiography time, percutaneous coronary intervention time, X-ray exposure time, duration of hospitalization, and complication rates associated with puncture, such as puncture site bleeding, hematoma, pseudoaneurysm, and major adverse cardiac events. Results: There were no significant differences in baseline characteristics and angiographic findings between the two groups. There were also no significant differences in coronary angiography time (8.2 ± 2.4 versus 7.6 ± 2.0 minutes), percutaneous coronary intervention time (30 ± 6.8 versus 29.6 ± 8.1 minutes), or X-ray exposure time (4.6 ± 1.4 versus 4.4 ± 1.3 minutes) between the groups. There were significant differences in puncture time (4.4 ± 1.6 versus 2.4 ± 0.8 minutes) and duration of hospitalization (3.2 ± 1.6 versus 5.4 ± 1.8 days) between the groups (P < 0.001). The complication rate using transradial access was 2.03% (6/296) versus 6.0% (18/300) using transfemoral access (P < 0.0001). Conclusion: Transradial access for emergent percutaneous coronary intervention is safe and effective in patients with AMI, and it is suggested that this route could be used more widely in these patients. Keywords: percutaneous coronary intervention, vascular access, radial artery, stent deployment
format	article
author	Qin X Xiong W Wang L Guan E Lu C
author_facet	Qin X Xiong W Wang L Guan E Lu C
author_sort	Qin X
title	Clinical investigation of transradial access for emergent percutaneous coronary intervention in patients with acute myocardial infarction
title_short	Clinical investigation of transradial access for emergent percutaneous coronary intervention in patients with acute myocardial infarction
title_full	Clinical investigation of transradial access for emergent percutaneous coronary intervention in patients with acute myocardial infarction
title_fullStr	Clinical investigation of transradial access for emergent percutaneous coronary intervention in patients with acute myocardial infarction
title_full_unstemmed	Clinical investigation of transradial access for emergent percutaneous coronary intervention in patients with acute myocardial infarction
title_sort	clinical investigation of transradial access for emergent percutaneous coronary intervention in patients with acute myocardial infarction
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/681c405055604317bdbf2dec1ea01f74
work_keys_str_mv	AT qinx clinicalinvestigationoftransradialaccessforemergentpercutaneouscoronaryinterventioninpatientswithacutemyocardialinfarction AT xiongw clinicalinvestigationoftransradialaccessforemergentpercutaneouscoronaryinterventioninpatientswithacutemyocardialinfarction AT wangl clinicalinvestigationoftransradialaccessforemergentpercutaneouscoronaryinterventioninpatientswithacutemyocardialinfarction AT guane clinicalinvestigationoftransradialaccessforemergentpercutaneouscoronaryinterventioninpatientswithacutemyocardialinfarction AT luc clinicalinvestigationoftransradialaccessforemergentpercutaneouscoronaryinterventioninpatientswithacutemyocardialinfarction
_version_	1718403804687237120

Clinical investigation of transradial access for emergent percutaneous coronary intervention in patients with acute myocardial infarction

Ejemplares similares