Comparison between femoral access versus radial access in primary percutaneous coronary interventions
Introduction The femoral approach for coronary angiography and angioplasty is used by most interventional cardiologists in both elective and primary Percutaneous coronary intervention (PCI) procedures. The use of transradial access has been increasing worldwide as it has fewer access site complicati...
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| Format: | Article |
| Language: | English |
| Published: |
General Organization of Teaching Hospitals and Institutes
2021-01-01
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| Series: | Journal of Medicine in Scientific Research |
| Subjects: | |
| Online Access: | http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2021;volume=4;issue=3;spage=259;epage=263;aulast=A. |
| Summary: | Introduction
The femoral approach for coronary angiography and angioplasty is used by most interventional cardiologists in both elective and primary Percutaneous coronary intervention (PCI) procedures. The use of transradial access has been increasing worldwide as it has fewer access site complications.
Aim
In this study, the author compared femoral versus radial approaches in patients with acute myocardial infarction undergoing primary angioplasty.
Patients and Methods
The study population consisted of 100 patients who presented to the author's center with acute ST-segment elevation myocardial infarction. The author divided the study population into two groups: group A that consisted of 50 patients in whom primary PCI was done through the transfemoral route and group B that consisted of 50 patients in whom primary PCI was done through the transradial route. The author compared complications in both groups.
Results
The author found that there was no significant difference between both groups regarding complications, namely, the major hematomas, the minor hematomas, the bleeding complications, pseudoaneurysm of the femoral artery, and loss of radial artery.
Conclusion
Under the light of the obtained results, the following conclusion could be drawn: first, both transfemoral and transradial approaches are feasible for performing primary angioplasty; second, there is an insignificant difference between the femoral approach and radial approach in patients with acute myocardial infarction undergoing primary PCI regarding complications, and third, operator should use the approach that is mastered. |
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| ISSN: | 2537-091X 2537-0928 |