Interv Akut Kardiol 2012; 11(3-4): 134-137

Radial approach in therapy of acute myocardial infarction with ST-segment elevation

Martin Kvašňák, Pavel Červinka, Radim Špaček, Marian Bystroň
Kardiologická klinika, Krajská zdravotní, a.s., Masarykova nemocnice v Ústí nad Labem, o.z. a UJEP Ústí nad Labem

Transradial approach has became a good alternative and, consequently, the preferred approach during both, diagnostic and therapeutic

procedures of stable coronary artery disease in many intervention centers in recent years. It is associated with a reduction of serious

bleeding complications at the puncture site, with faster mobilisation of patients after procedure, with shorter stay in hospital and without

a significant increase in radiation exposure for patients and staff. The logical consequence of this is the increasing number of centers

that prefers radial access even during primary-PCI in treatment of myocardial infarction with ST segment elevation.

Keywords: radial approach, STEMI, complications, comparison radial vs femoral acces

Published: May 11, 2012  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Kvašňák M, Červinka P, Špaček R, Bystroň M. Radial approach in therapy of acute myocardial infarction with ST-segment elevation. Interv Akut Kardiol. 2012;11(3-4):134-137.
Download citation

References

  1. Epstein AJ, Polsky D, Yang F, et al. Coronary revascularization trends in the United States, 2001-2008 JAMA 2011; 305: 1769-1776. Go to original source... Go to PubMed...
  2. Bednář F, Widimský P, Třeštík P, et al. Nemocniční průběh akutního infarktu myokardu v České republice. Registr infarktů myokardu studie PRAGUE-1. Cor Vasa 2003; 45: 543-549.
  3. Andersenn HR, Nielsen TT, Rasmussen K, et al. A Comparison of Coronary Angioplasty with Fibrinolytic Therapy in Acute Myocardial Infarction. N Engl J Med 2003; 349: 733-742. Go to original source... Go to PubMed...
  4. De Boer MJ, Ottervanger JP, vant´Hof AW, et al. Reperfusion therapy in elderly patients with acute myocardial infarction: a randomizad comparison of primary angioplasty and thrombolytic therapy. J Am Coll Cardiol 2002; 39: 1723-1728. Go to original source... Go to PubMed...
  5. Widimský P, Groch L, Želízko M, et al. On behalf of the PRAGUE study Group Investigators. Multicentre randomised trial comparing transport to primary angioplasty vs immediate trombolysis vs combined strategy for patients with AMI presenting to a community hospital without cathetrization laboratory. Eur Heart J 2000; 21: 823-831. Go to original source... Go to PubMed...
  6. Fox KAA, Cokkinos DV, Deckers J, et al. On behalf of the ENACT (European Network for Acute Coronary Treatment) investigators. The ENACT study: a panEuropean survey of acute coronary syndromes. Eur Heart J 2000; 21: 1440-1449. Go to original source... Go to PubMed...
  7. Zahn R, Schiele R, Schneider S, et al. Decreasing hospital mortality between 1994 and 1998 in patients with acute myocardial infarction treated with primary angioplasty but not in patients treated with intravenous thrombolysis. Results from the pooled data of the Maximal Individual Therapy in Acute Myocardial Infarction (MITRA). Registry and the Myocardial Infarction Registry (MIR). J Am Coll Cardiol 2000; 36: 2064-2071. Go to original source... Go to PubMed...
  8. O´Neil WW, de Boer MJ, Gibbons RJ, et al. Lessons from the pooled outcome of the PAMI, Zwolle and Mayo clinic randomized trials of primary angioplasty versus thrombolytic therapy of acute myocardial infarction. J Invasive Cardiol 1998; 10: 4-10.
  9. Weawer WD, Simes RJ, Betriu A, et al. Comparison of primary coronary angioplasty and intravenous fibrinolytic therapy for acute myocardial infarction. JAMA 1997; 278: 2093-2098. Go to original source... Go to PubMed...
  10. GUSTO IIb Angioplasty Substudy Investigators. A clinical trial comparing primary coronary angioplasty with tissue plasminogen activator for acute myocardial infarction. N Engl J Med 1997; 336: 1621-1628. Go to original source... Go to PubMed...
  11. Grines CL, Browne KF, Marco J, et al. A Comparison of immediate angioplasty with trombolytic therapy for acute myocardial infarction. N Engl J Med 1993; 328: 673-679. Go to original source... Go to PubMed...
  12. Ziljstra F, Dc Boer M, Hoorntje J, et al. A comparison of immediate coronary angioplasty with intravenous streptokinase in acute myocardial infarction. N Engl J Med 1993; 328: 680-684. Go to original source... Go to PubMed...
  13. Kiemeneij F, Laarman GJ. Percutaneous transradial artery approach for coronary stent implantation, Cathet Cardiovasc Diagn., 1993; 30: 173-178. Go to original source... Go to PubMed...
  14. Kiemeneij F, Laarman GJ, Oderkeren D, et al. A randomized comparison of percutaneous transluminal coronary angioplasty by the radial, brachial and femoral approaches: the acces study. J Am Coll Cardiol, 1997; 29: 1269-1275. Go to original source... Go to PubMed...
  15. Cooper CJ, et al. Effect of transradial access on quality of life and cost of cardiac catheterization: a randomized comparison. Am Heart J 1999; 138(Pt 1): 430-436. Go to original source... Go to PubMed...
  16. Guidelines České kardiologické společnosti: Diagnostika a léčba akutního infarktu myokardu s elevacemi ST, Cor Vasa 2009; 51(10): 724-740. Go to original source...
  17. Pancholy S, Patel T, Sanghvi K, et al. Comparison of door-toballoon times for primary PCI using transradial versus transfemoral approach, Catheter Cardiovasc Interv. 2010; 7: 991-995. Go to original source... Go to PubMed...
  18. Weaver AN, Henderson RA, Gilchrist IC, et al. Arterial access and door-to-balloon times for primary percutaneous coronary intervention in patiens presnting with acute ST-elevation myocardial infarction, Catheter Cardiovasc Interv. 2010; 5: 695-699. Go to original source... Go to PubMed...
  19. Lange HW, Boetticher H. Randomized comparison of operator radiation exposure during coronary Angiography and Intervention by radial or femoral approach. Catheter Cardiovasc Interv. 2006; 67: 12-16. Go to original source... Go to PubMed...
  20. Louvard Y, Pezzano M, Scheers L, et al. Coronary angiography by a radial artery approach: feasibility, learning curve. One operator's experience. Archives des Maladies du Coeur et des Vaisseaux 1998; 91: 209-215. Go to PubMed...
  21. Vink MA, Amoroso G, Dirksen MT, et al. Routine use of the transradial approach in primary percutaneous coronary intervention: procedural aspects and outcomes in 2209 patients treated in a single hig-volume center. Heart. 2011; 97(23): 1938-1942. Go to original source... Go to PubMed...
  22. Larsen P, Shah S, Waxman S, et al. Comparison of procedural times, succes rates, and safety between left versus right radial arterial access in primary pecutaneous coronary intervention for acute ST-segment elevation myocardial infarction. Catheter Cardiovasc Interv. 2011; 78: 38-44. Go to original source... Go to PubMed...
  23. Saito S, Tanaka S, Hiroe Y, et al. Comparative study on transradial approach vs. transfemoral approach in primary stent implantation for patients with acute myocardial infarction: results of the test for myocardial infarction by prospective unicenter randomization for access sites (TEMPURA) trial. Catheter Cardiovasc Interv. 2003; 59: 26-33. Go to original source... Go to PubMed...
  24. Hetherington SL, Adam Z, Morley R, et al. Primary percutaneous coronary intervention for acute ST-segment elevation myocardial infarction - changing patterns of vascular access, radial versus femoral artery. Heart 2009; 95: 1612-1618. Go to original source... Go to PubMed...
  25. Yusuf S, Mehta SR, Chrolavicius S, et al. Effects of Fondaparinux on Mortality and Reinfarction in Patients With Acute ST-Segment Elevation Myocardial Infarction: The OASIS-6 Randomized Trial, JAMA 2006; 295: 1519-1530. Go to original source... Go to PubMed...
  26. Manoukian SV, Feit F, Mehran R, et al. Impact of major bleeding on 30-day mortality and clinical outcomes in patients with acute coronary syndromes: an analysis from the ACUITY Trial. J Am Coll Cardiol. 2007; 49: 1362-1368. Go to original source... Go to PubMed...
  27. Feit F, Voeltz MD, Attubato MJ, et al. Predictors and Impact of Major Hemorrhage on Mortality Following Percutaneous Coronary Intervention from the REPLACE-2 Trial. Am J Cardiol. 2007; 100: 1364-1369. Go to original source... Go to PubMed...
  28. Cantor WJ, Puley G, Natarajan MK, et al. Radial versus femoral access for emergent percutaneous coronary intervention with adjunct glycoprotein IIb/IIIa inhibition in acute myocardial infarction-the RADIAL-AMI pilot randomized trial. Am Heart J 2005; 150: 543-549. Go to original source... Go to PubMed...
  29. Eichhöfer J, Horlick E, Ivanov J, et al. Decreased complication rates using the transradial compared to the transfemoral approach in percutaneous coronary intervention in the era of routine stenting and glycoprotein platelet IIb/IIIa inhibitor use: a large single-center experience. Am Heart J. 2008; 156: 864-870. Go to original source... Go to PubMed...
  30. Chase AJ, Fretz EB, Warburton WP, et al. Association of the arterial access site at angioplasty with transfusion and mortality: the M.O.R.T.A.L study (Mortality benefit Of Reduced Transfusion after percutaneous coronary intervention via the Arm or Leg) Heart 2008; 94: 1019-1025. Go to original source...
  31. Jolly SS, Yusuf S, Cairns J, et al. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet 2011; 377: 1409-1420. Go to original source... Go to PubMed...
  32. Jolly SS, Amlani S, Hamon M, et al. Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials.Am Heart J. 2009; 157: 132-140. Go to original source... Go to PubMed...
  33. Vorobcsuk A, Kónyi A, Aradi D, et al. Transradial versus transfemoral percutaneous coronary intervention in acute myocardial infarction Systematic overview and meta-analysis. Am Heart J. 2009; 158: 814-821. Go to original source... Go to PubMed...
  34. Joyal D, Bertrand OF, Rinfret S, et al. Meta-Analysis of Ten Trials on the Effectiveness of the Radial Versus the Femoral Approach in Primary Percutaneous Coronary Intervention. Am J Cardiol. 2011 Dec 21. [Epub ahead of print]
  35. Amoroso G, Sarti M, Belluci R, et al. Clinical and procedural predictors of nurse workload during and after invasive coronary procedures: The potential benefit of a systematic radial access. Eur J Cardiovasc Nurs 2005; 4: 234-241. Go to original source... Go to PubMed...




Interventional Cardiology

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.