Door-to-balloon time in radial versus femoral approach for primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction
Primary percutaneous coronary intervention (pPCI) is considered the preferred reperfusion strategy for patients presenting with ST-segment elevation myocardial infarction (STEMI). This study compares the door-to-balloon (D2B) time between transradial vs. the transfemoral approach in patients present...
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doaj-4ed2523069b140a79899bc6f441975302020-11-25T01:37:52ZengSpringerOpenThe Egyptian Heart Journal1110-26082014-06-0166215516210.1016/j.ehj.2013.11.003Door-to-balloon time in radial versus femoral approach for primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarctionOsama Tayeh0Federica Ettori1Critical Care Department, Faculty of Medicine, Cairo University, EgyptCardiothoracic Department, Spedali Civili, Brescia University, ItalyPrimary percutaneous coronary intervention (pPCI) is considered the preferred reperfusion strategy for patients presenting with ST-segment elevation myocardial infarction (STEMI). This study compares the door-to-balloon (D2B) time between transradial vs. the transfemoral approach in patients presenting with STEMI. Methods: A retrospectively collected catheterization laboratory database was reviewed for the consecutive patients presenting with a STEMI. Specific time parameters were recorded, and our composite end points were time to revascularization, angiographic success, short term clinical success, and procedural vascular complications. Results: Radial PCI (r-PCI) was performed in 33 patients (67.3%) and in 16 patients (32.7%) PCI was done through femoral artery (f-PCI). No significant difference was observed in the pre-catheter and catheter laboratory times. Mean times from emergency room door-to-catheter laboratory time for r-PCI vs. f-PCI were 82.48 ± 37.42 and 76.29 ± 34.32 min, respectively (P = 0.636). The mean time from patient arrival to the cardiac catheter laboratory-to-balloon inflation was 34.56 ± 14.2 in the r-PCI group vs. 33.12 ± 12.56 min with the f-PCI group (P = 0.215). The total D2B time was not significantly different between r-PCI vs. f-PCI groups (100.32 ± 36.3 vs. 97.31 ± 30.37 min, respectively, P = 0.522). Angiographic success rates were observed in 92.1% of the patients for r-PCI, and in 87.5% for f-PCI (P = 0.712). There were no vascular complications in both groups. Conclusions: Patients presenting with STEMI can undergo successful pPCI via radial artery without compromising patient care.http://www.sciencedirect.com/science/article/pii/S1110260813001191Primary percutaneous coronary interventionRadialFemoralMyocardial infarction |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Osama Tayeh Federica Ettori |
spellingShingle |
Osama Tayeh Federica Ettori Door-to-balloon time in radial versus femoral approach for primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction The Egyptian Heart Journal Primary percutaneous coronary intervention Radial Femoral Myocardial infarction |
author_facet |
Osama Tayeh Federica Ettori |
author_sort |
Osama Tayeh |
title |
Door-to-balloon time in radial versus femoral approach for primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction |
title_short |
Door-to-balloon time in radial versus femoral approach for primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction |
title_full |
Door-to-balloon time in radial versus femoral approach for primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction |
title_fullStr |
Door-to-balloon time in radial versus femoral approach for primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction |
title_full_unstemmed |
Door-to-balloon time in radial versus femoral approach for primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction |
title_sort |
door-to-balloon time in radial versus femoral approach for primary percutaneous coronary intervention in patients with st-segment elevation myocardial infarction |
publisher |
SpringerOpen |
series |
The Egyptian Heart Journal |
issn |
1110-2608 |
publishDate |
2014-06-01 |
description |
Primary percutaneous coronary intervention (pPCI) is considered the preferred reperfusion strategy for patients presenting with ST-segment elevation myocardial infarction (STEMI). This study compares the door-to-balloon (D2B) time between transradial vs. the transfemoral approach in patients presenting with STEMI.
Methods: A retrospectively collected catheterization laboratory database was reviewed for the consecutive patients presenting with a STEMI. Specific time parameters were recorded, and our composite end points were time to revascularization, angiographic success, short term clinical success, and procedural vascular complications.
Results: Radial PCI (r-PCI) was performed in 33 patients (67.3%) and in 16 patients (32.7%) PCI was done through femoral artery (f-PCI). No significant difference was observed in the pre-catheter and catheter laboratory times. Mean times from emergency room door-to-catheter laboratory time for r-PCI vs. f-PCI were 82.48 ± 37.42 and 76.29 ± 34.32 min, respectively (P = 0.636). The mean time from patient arrival to the cardiac catheter laboratory-to-balloon inflation was 34.56 ± 14.2 in the r-PCI group vs. 33.12 ± 12.56 min with the f-PCI group (P = 0.215). The total D2B time was not significantly different between r-PCI vs. f-PCI groups (100.32 ± 36.3 vs. 97.31 ± 30.37 min, respectively, P = 0.522). Angiographic success rates were observed in 92.1% of the patients for r-PCI, and in 87.5% for f-PCI (P = 0.712). There were no vascular complications in both groups.
Conclusions: Patients presenting with STEMI can undergo successful pPCI via radial artery without compromising patient care. |
topic |
Primary percutaneous coronary intervention Radial Femoral Myocardial infarction |
url |
http://www.sciencedirect.com/science/article/pii/S1110260813001191 |
work_keys_str_mv |
AT osamatayeh doortoballoontimeinradialversusfemoralapproachforprimarypercutaneouscoronaryinterventioninpatientswithstsegmentelevationmyocardialinfarction AT federicaettori doortoballoontimeinradialversusfemoralapproachforprimarypercutaneouscoronaryinterventioninpatientswithstsegmentelevationmyocardialinfarction |
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