PMID- 20801852
OWN - NLM
STAT- MEDLINE
DCOM- 20101028
LR  - 20130520
IS  - 1468-201X (Electronic)
IS  - 1355-6037 (Linking)
VI  - 96
IP  - 17
DP  - 2010 Sep
TI  - Transradial access for primary percutaneous coronary intervention: the next 
      standard of care?
PG  - 1341-4
LID - 10.1136/hrt.2010.196824 [doi]
AB  - Primary percutaneous coronary intervention (PPCI) has been acknowledged by the 
      most recent European guidelines to be the preferred treatment for ST elevation 
      myocardial infarction (STEMI). Patients undergoing PPCI are expected to receive a 
      broad spectrum of anticoagulants and antiplatelet agents, which increases the 
      risk of bleedings, in most cases, at the site of vascular access. The burden of 
      bleeding complications after PPCI is as negative as that of ischemic 
      complications not only on in-hospital morbidity, but also on mid- and long-term 
      survival. Owing to the unique features of the radial artery, transradial approach 
      (TRA) seems able to overcome most of the problems related to vascular access 
      particularly in case of STEMI. In this short review we discuss the results of the 
      latest studies and we highlight not only the safety and feasibility of TRA-PPCI, 
      but also the advantages in terms of morbidity and mortality. We finally report on 
      our experience at OLVG Amsterdam, and how TRA can also change the logistics in 
      case of a PPCI programme (short stay).
FAU - Amoroso, Giovanni
AU  - Amoroso G
AD  - Department of Interventional Cardiology, Onze Lieve Vrouwe Gasthuis Amsterdam, 
      The Netherlands. g.amoroso@olvg.nl
FAU - Kiemeneij, Ferdinand
AU  - Kiemeneij F
LA  - eng
PT  - Journal Article
PT  - Review
PL  - England
TA  - Heart
JT  - Heart (British Cardiac Society)
JID - 9602087
SB  - IM
MH  - Angioplasty, Balloon, Coronary/adverse effects/*methods
MH  - Feasibility Studies
MH  - Femoral Artery
MH  - Humans
MH  - Myocardial Infarction/*therapy
MH  - Radial Artery
MH  - Randomized Controlled Trials as Topic
EDAT- 2010/08/31 06:00
MHDA- 2010/10/29 06:00
CRDT- 2010/08/31 06:00
PHST- 2010/08/31 06:00 [entrez]
PHST- 2010/08/31 06:00 [pubmed]
PHST- 2010/10/29 06:00 [medline]
AID - 96/17/1341 [pii]
AID - 10.1136/hrt.2010.196824 [doi]
PST - ppublish
SO  - Heart. 2010 Sep;96(17):1341-4. doi: 10.1136/hrt.2010.196824.