Feasibility of the radial artery as a vascular access route in performing primary percutaneous coronary intervention

Jang Yong Kim, Junghan Yoon, Hyun Sook Jung, Ji Yeon Ko, Byungsu Yoo, Sung Oh Hwang, Seunghwan Lee, Kyung Hoon Choe

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)503-510
Number of pages8
JournalYonsei medical journal
Volume46
Issue number4
DOIs
Publication statusPublished - 2005 Aug 31

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Radial Artery
Percutaneous Coronary Intervention
Blood Vessels
Thigh
Reperfusion
Length of Stay
Ischemia
Hand
ST Elevation Myocardial Infarction

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Kim, Jang Yong ; Yoon, Junghan ; Jung, Hyun Sook ; Ko, Ji Yeon ; Yoo, Byungsu ; Hwang, Sung Oh ; Lee, Seunghwan ; Choe, Kyung Hoon. / Feasibility of the radial artery as a vascular access route in performing primary percutaneous coronary intervention. In: Yonsei medical journal. 2005 ; Vol. 46, No. 4. pp. 503-510.
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abstract = "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.",
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Feasibility of the radial artery as a vascular access route in performing primary percutaneous coronary intervention. / Kim, Jang Yong; Yoon, Junghan; Jung, Hyun Sook; Ko, Ji Yeon; Yoo, Byungsu; Hwang, Sung Oh; Lee, Seunghwan; Choe, Kyung Hoon.

In: Yonsei medical journal, Vol. 46, No. 4, 31.08.2005, p. 503-510.

Research output: Contribution to journalArticle

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N2 - 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.

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