Comparison of procedural times, success rates, and safety between left versus right radial arterial access in primary percutaneous coronary intervention for acute ST‐segment elevation myocardial infarction
Key result
Left radial approach for primary PCI in STEMI patients demonstrated similar procedural success rates (100% vs 97.6%, P=0.27) and total procedure times (53.5 vs 52 mins, P=0.95) compared to right radial access.
Why the study?
Does left radial approach compared to right radial approach improve procedural times, success rates, or safety in STEMI patients undergoing primary PCI?
Population
135 consecutive STEMI patients treated with primary PCI
Comparison
Left radial approach (LRA) for primary PCI vs Right radial approach (RRA) for primary PCI
Design
Cohort
Authors
Discussion
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Member takes
Implication
Either radial access viable in STEMI PCI; leaves open need for randomized confirmation of equivalence.
Study Design
Type
Observational (n=135)
Multicenter
No
Structured PICO
Does left radial approach compared to right radial approach improve procedural times, success rates, or safety in STEMI patients undergoing primary PCI?
P
Population
135 consecutive STEMI patients treated with primary PCI via left or right radial approach at a single institution.
E
Exposure
Left radial approach (LRA) for primary PCI
C
Comparator
Right radial approach (RRA) for primary PCI
O
Outcome
Procedural times (total procedure time, room-to-cannulation, room-to-balloon times), success rates, and safety (procedure-related complications or death)surrogate
Main Result
Absolute Event Rate: 100% vs 97.6%
p-value: p=0.27
Left and right radial approaches for primary PCI in STEMI patients yield similar procedural times, success rates, and safety profiles.
Cite This Study
Larsen et al. (2010) conducted an observational in ST-elevation myocardial infarction (STEMI) (n=135). Left radial approach (LRA) vs. Right radial approach (RRA) was evaluated on Procedural success rate (p=0.27). Left radial approach for primary PCI in STEMI patients demonstrated similar procedural success rates (100% vs 97.6%, P=0.27) and total procedure times (53.5 vs 52 mins, P=0.95) compared to right radial access.