Key result
Primary percutaneous coronary intervention via the distal radial approach was highly feasible in patients with STEMI, achieving a 92.8% puncture success rate and 100% procedural success without major bleeding.
Why the study?
Although the distal radial approach has gained interest among interventional cardiologists, data regarding its feasibility as an alternative route for primary PCI are lacking.
Population
138 STEMI patients undergoing attempted primary PCI via DRA at three hospitals
Comparison
Primary PCI via the distal radial approach
Design
Multicenter observational study
Authors
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Distal radial access may be feasible for STEMI primary PCI; leaves open its comparative safety and adoption pending randomized trials.
Observational (n=138)
Yes
The distal radial approach is a highly feasible and safe alternative access route for primary PCI in patients with STEMI, demonstrating a 92.8% puncture success rate and no major bleeding complications.
Kim et al. (2020) conducted an observational in ST-elevation myocardial infarction (STEMI) (n=138). Distal radial approach (snuffbox approach) was evaluated on Success rate of snuffbox puncture. Primary percutaneous coronary intervention via the distal radial approach was highly feasible in patients with STEMI, achieving a 92.8% puncture success rate and 100% procedural success without major bleeding.
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