PMID- 23441063
OWN - NLM
STAT- MEDLINE
DCOM- 20140818
LR  - 20131218
IS  - 1522-726X (Electronic)
IS  - 1522-1946 (Linking)
VI  - 83
IP  - 1
DP  - 2014 Jan 1
TI  - Transradial intervention for patients with ST elevation myocardial infarction 
      with or without cardiogenic shock.
PG  - E1-7
LID - 10.1002/ccd.24896 [doi]
AB  - OBJECTIVES: To compare clinical outcomes between transradial (TRI) and 
      transfemoral intervention (TFI) in primary percutaneous coronary intervention 
      (PCI) in patients with ST elevation myocardial infarction (STEMI) with or without 
      shock. BACKGROUND: TRI for STEMI has benefits in TRI high volume centers. 
      However, TRI has not been reported for STEMI with shock even in such centers. 
      METHODS: We retrospectively studied 425 STEMI patients who underwent primary PCI. 
      Patients were divided into four groups according to approach site and presence of 
      cardiogenic shock, including TRI without shock (TR group, n = 273), TRI with 
      shock (TRS group, n = 38), TFI without shock (TF group, n = 71), and TFI with 
      shock (TFS group, n = 43). RESULTS: PCI success rates were similar among the four 
      groups. The TR group was superior to the TF group in terms of shorter cath lab to 
      first device activation time, and lower access site complications, and 30-day 
      mortality rates (1.1% vs. 11.3%, P < 0.001). In shock patients, cardiopulmonary 
      arrest was commonly observed in both the TRS and TFS groups (42.1% and 51.2%, 
      respectively). The TRS group showed a trend toward a shorter door to first device 
      activation time compared to the TFS group and lower access site complications; 
      however, 30-day mortality rate was 28.9% in TRS and 25.6% in TFS group (P = 0.7). 
      CONCLUSIONS: In TRI high volume center, TRI for STEMI was safe and feasible as a 
      default approach. TRI could be applied to severe shock patients with similar 
      clinical outcome to TFI.
CI  - Copyright (c) 2013 Wiley Periodicals, Inc.
FAU - Fujii, Toshiharu
AU  - Fujii T
AD  - Division of Cardiology, Tokai University School of Medicine, Isehara, Japan.
FAU - Masuda, Naoki
AU  - Masuda N
FAU - Ijichi, Takeshi
AU  - Ijichi T
FAU - Kamiyama, Yoshinari
AU  - Kamiyama Y
FAU - Tanaka, Shigemitsu
AU  - Tanaka S
FAU - Nakazawa, Gaku
AU  - Nakazawa G
FAU - Shinozaki, Norihiko
AU  - Shinozaki N
FAU - Matsukage, Takashi
AU  - Matsukage T
FAU - Ogata, Nobuhiko
AU  - Ogata N
FAU - Ikari, Yuji
AU  - Ikari Y
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20130925
PL  - United States
TA  - Catheter Cardiovasc Interv
JT  - Catheterization and cardiovascular interventions : official journal of the 
      Society for Cardiac Angiography & Interventions
JID - 100884139
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Cardiac Catheterization/adverse effects/*methods/mortality
MH  - Feasibility Studies
MH  - Female
MH  - *Femoral Artery
MH  - Hospitals, High-Volume
MH  - Humans
MH  - Japan
MH  - Kaplan-Meier Estimate
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/complications/diagnosis/mortality/*therapy
MH  - Percutaneous Coronary Intervention/adverse effects/*methods/mortality
MH  - *Radial Artery
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Shock, Cardiogenic/diagnosis/*etiology/mortality
MH  - Time Factors
MH  - Time-to-Treatment
MH  - Treatment Outcome
OTO - NOTNLM
OT  - acute coronary syndrome
OT  - angiography
OT  - coronary, coronary artery disease
OT  - percutaneous coronary intervention
OT  - transradial cath
EDAT- 2013/02/27 06:00
MHDA- 2014/08/19 06:00
CRDT- 2013/02/27 06:00
PHST- 2012/09/13 00:00 [received]
PHST- 2013/01/06 00:00 [revised]
PHST- 2013/02/18 00:00 [accepted]
PHST- 2013/02/27 06:00 [entrez]
PHST- 2013/02/27 06:00 [pubmed]
PHST- 2014/08/19 06:00 [medline]
AID - 10.1002/ccd.24896 [doi]
PST - ppublish
SO  - Catheter Cardiovasc Interv. 2014 Jan 1;83(1):E1-7. doi: 10.1002/ccd.24896. Epub 
      2013 Sep 25.