EFFICACY AND SAFETY OF TRANSRADIAL APPROACH IN PRIMARY PCI FOR STEMI

Abstract

Objective: To determine the efficacy and safety of transradial approach in primary percutanous intervention in acute ST segment elevation myocardial infarction.

Study Design: Descriptive study

Place and Duration of Study: Emergency reporting (ER) department of Armed Forces Institute of Cardiology National Institute of Heart Diseases (AFIC/NIHD) from Dec 2011 to Dec 2013

Method: Retrospective data of 354 patients had been collected through records. All the patients presented with acute myocardial infarction to emergency reporting (ER) department of Armed Forces Institute of Cardiology National Institute of Heart Diseases were included in the study. All the patients underwent primary coronary intervention through transradial route. All patients received IIB IIIA inhibitors bolus and infusion. The primary end points were procedure success and local access site hematoma and secondary end points were major bleeding requiring blood transfusion and door to balloon time.

Results: The mean age of the patient was 64 ± 18 years, there were 251 (70.9%) males and female were 103 (29.1%). Radial access site cannulation time was 194 ± 22 sec and door to balloon time was 78 ± 14 min. Procedural success was 349 (98.6%). Forearm hematoma was noted in 4 (1.12%). No major bleeding requiring transfusion was noted.

Conclusion: Primary percutanous intervention (PPCI) via transradial (TRI) route in acute STEMI patients can be achieved with high success and low complications in our population. The clinical outcome is matching with local and international data.