PMID- 16127775
OWN - NLM
STAT- MEDLINE
DCOM- 20050929
LR  - 20181113
IS  - 0513-5796 (Print)
IS  - 1976-2437 (Electronic)
IS  - 0513-5796 (Linking)
VI  - 46
IP  - 4
DP  - 2005 Aug 31
TI  - Feasibility of the radial artery as a vascular access route in performing primary 
      percutaneous coronary intervention.
PG  - 503-10
AB  - We aimed to evaluate the feasibility of transradial primary percutaneous coronary 
      intervention (PCI) in patients with ST elevation myocardial infarction (STEMI) by 
      comparing the procedural results and complications with those of transfemoral 
      intervention. From April 1997 to October 2004, we enrolled 352 consecutive cases 
      of STEMI who underwent primary PCI. The femoral route was used in 132 cases (TFI 
      group) and the radial route was used in 220 cases (TRI group). Cases with Killips 
      class IV, a negative Allen test or a non-palpable radial artery were excluded 
      from our study. Baseline clinical and angiographic profiles were comparable in 
      both groups. Vascular access time was 3.8 +/- 3.5 min in the TFI group and 3.6 
      +/- 3.1 min in the TRI group, and cath room to reperfusion time was 25 +/- 11 min 
      in the TRI group and 26 +/- 13 min in the TRI group. The procedural success rate 
      was 89% in the TFI group and 88% in the TRI group. Crossover occurred in 9 cases 
      (4%) due to approaching vessel tortuosity in the TRI group. Major access site 
      complications occurred in 7 cases (5%) in the TFI group, and there were no 
      complications in the TRI group (p < 0.001). Although radial occlusion occurred in 
      5 cases of the TRI group, there was no evidence of hand ischemia. The total 
      hospital stay was significantly shorter in TRI group than in TFI group. In 
      conclusion, use of the radial artery might be a potential vascular access route 
      in performing primary PCI in selected cases.
FAU - Kim, Jang Young
AU  - Kim JY
AD  - Department of Cardiology, Wonju College of Medicine, Yonsei University, 162 
      Ilsan-dong, Wonju 220-701, Korea.
FAU - Yoon, Junghan
AU  - Yoon J
FAU - Jung, Hyun Sook
AU  - Jung HS
FAU - Ko, Ji Yeon
AU  - Ko JY
FAU - Yoo, Byung Su
AU  - Yoo BS
FAU - Hwang, Sung Oh
AU  - Hwang SO
FAU - Lee, Seung Hwan
AU  - Lee SH
FAU - Choe, Kyung Hoon
AU  - Choe KH
LA  - eng
PT  - Journal Article
PL  - Korea (South)
TA  - Yonsei Med J
JT  - Yonsei medical journal
JID - 0414003
SB  - IM
MH  - Adult
MH  - Aged
MH  - Angioplasty, Balloon, Coronary/adverse effects/*methods
MH  - Electrocardiography
MH  - Female
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/physiopathology/*therapy
MH  - *Radial Artery
MH  - Retrospective Studies
PMC - PMC2815835
EDAT- 2005/08/30 09:00
MHDA- 2005/09/30 09:00
PMCR- 2005/08/31
CRDT- 2005/08/30 09:00
PHST- 2005/08/30 09:00 [pubmed]
PHST- 2005/09/30 09:00 [medline]
PHST- 2005/08/30 09:00 [entrez]
PHST- 2005/08/31 00:00 [pmc-release]
AID - 200508503 [pii]
AID - 10.3349/ymj.2005.46.4.503 [doi]
PST - ppublish
SO  - Yonsei Med J. 2005 Aug 31;46(4):503-10. doi: 10.3349/ymj.2005.46.4.503.