PMID- 26206109 OWN - NLM STAT- MEDLINE DCOM- 20160425 LR - 20151225 IS - 1873-1740 (Electronic) IS - 0033-0620 (Linking) VI - 58 IP - 3 DP - 2015 Nov-Dec TI - Current State of Radial Artery Catheterization in ST-Elevation Myocardial Infarction. PG - 241-6 LID - S0033-0620(15)00056-0 [pii] LID - 10.1016/j.pcad.2015.07.007 [doi] AB - A well-established body of evidence demonstrating the advantages of a transradial approach for coronary angiography and intervention has led to worldwide adoption of this technique. In some countries, radial access has replaced femoral access as the dominant access site for percutaneous coronary intervention (PCI). More recently, numerous randomized controlled trials have compared transradial and transfemoral access in patients with ST elevation myocardial infarction (STEMI) and have shown that transradial access is associated with lower mortality and less major bleeding. This review examines the advantages of transradial primary PCI for STEMI patients, addresses concerns in adopting this approach for primary PCI, and reviews recommendations on how to start a transradial primary PCI program. CI - Published by Elsevier Inc. FAU - Hinohara, Tomoya T AU - Hinohara TT AD - Duke University Medical Center, Durham, NC, USA. Electronic address: tomoya.hinohara@dm.duke.edu. FAU - Rao, Sunil V AU - Rao SV AD - Duke University Medical Center, Durham, NC, USA; The Duke Clinical Research Institute, Durham, NC, USA. LA - eng PT - Journal Article PT - Review DEP - 20150721 PL - United States TA - Prog Cardiovasc Dis JT - Progress in cardiovascular diseases JID - 0376442 SB - IM MH - Cardiac Catheterization/adverse effects/*methods/mortality MH - Clinical Competence MH - Humans MH - Learning Curve MH - Myocardial Infarction/diagnosis/mortality/*therapy MH - Percutaneous Coronary Intervention/adverse effects/*methods/mortality MH - Program Development MH - Punctures MH - *Radial Artery MH - Risk Factors MH - Treatment Outcome OTO - NOTNLM OT - Learning curve OT - PCI OT - Percutaneous coronary intervention OT - Radial access OT - STEMI EDAT- 2015/07/25 06:00 MHDA- 2016/04/26 06:00 CRDT- 2015/07/25 06:00 PHST- 2015/07/25 06:00 [entrez] PHST- 2015/07/25 06:00 [pubmed] PHST- 2016/04/26 06:00 [medline] AID - S0033-0620(15)00056-0 [pii] AID - 10.1016/j.pcad.2015.07.007 [doi] PST - ppublish SO - Prog Cardiovasc Dis. 2015 Nov-Dec;58(3):241-6. doi: 10.1016/j.pcad.2015.07.007. Epub 2015 Jul 21.