Key result
Distal radial access for primary PCI in STEMI patients was successful in 83.3% of cases and accounted for 2.7% of door-to-wiring time, compared to 3.3% for proximal radial and 2.6% for femoral access.
Why the study?
Recent studies have indicated that distal radial access (DRA) is feasible in PCI, prompting a comparison of DRA, proximal radial access (PRA), and femoral access (FA) in patients with STEMI undergoing PCI.
Does distal radial access improve procedural efficiency or safety compared to proximal radial or femoral access in patients with STEMI undergoing primary PCI?
Population
109 patients with STEMI treated via primary PCI
Comparison
DRA vs PRA vs FA
Authors
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Supports DRA feasibility with low time contribution in STEMI PCI; leaves open randomized comparisons of efficiency or safety versus PRA or FA.
Cohort (n=109)
Does distal radial access improve procedural efficiency or safety compared to proximal radial or femoral access in patients with STEMI undergoing primary PCI?
p-value: p=< 0.01
Distal radial access is a feasible and safe alternative to proximal radial and femoral access for primary PCI in STEMI patients when performed by experienced operators.
Lee et al. (2021) conducted a cohort in ST-elevation myocardial infarction (STEMI) (n=109). Distal radial access (DRA) vs. Proximal radial access (PRA) and femoral access (FA) was evaluated on Percentage of puncture time in door-to-wiring time (p=< 0.01). Distal radial access for primary PCI in STEMI patients was successful in 83.3% of cases and accounted for 2.7% of door-to-wiring time, compared to 3.3% for proximal radial and 2.6% for femoral access.
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