Transradial Access for Primary Percutaneous Coronary Intervention

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Balloon-assisted tracking for challenging transradial percutaneous coronary intervention

A-74-year-old woman with a history of diabetes mellitus and hypertension was admitted to our hospital due to non-ST elevation myocardial infarction. Coronary angiography was performed uneventfully using JL 3.5 and AR1 5 Fr angiographic catheters (Boston Scientific, USA) through radial access. The coronary angiogram showed one vessel disease with an 80% stenosis at the proximal part of the left ...

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Clinical investigation of transradial access for emergent percutaneous coronary intervention in patients with acute myocardial infarction

BACKGROUND Use of intensive anticoagulation and antiplatelet therapy in acute myocardial infarction (AMI) potentially increases the risk of bleeding complications during percutaneous coronary intervention via the transfemoral route. Recently, the transradial access has been intensively employed as an alternative means for diagnostic and interventional procedures. A low incidence of vascular acc...

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Risk‐Treatment Paradox in the Selection of Transradial Access for Percutaneous Coronary Intervention

BACKGROUND Access site complications contribute to morbidity and mortality during percutaneous coronary intervention (PCI). Transradial arterial access significantly lowers the risk of access site complications compared to transfemoral arteriotomy. We sought to develop a prediction model for access site complications in patients undergoing PCI with femoral arteriotomy, and assess whether transr...

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Operator and institutional experience reduces room-to-balloon times for transradial primary percutaneous coronary intervention.

BACKGROUND Transradial (TR) access for primary percutaneous coronary intervention (PCI) is becoming accepted as the preferred approach but has not gained widespread adoption due to technical challenges that may limit procedural success and delay time to revascularization, particularly among patients treated by inexperienced operators. We report our experience over the first 2 years of our TR pr...

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Transradial Versus Transfemoral Access in Patients Undergoing Rescue Percutaneous Coronary Intervention After Fibrinolytic Therapy.

OBJECTIVES The purpose of this study was to assess usage patterns of transradial access in rescue percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI) and associations between vascular access site choice and outcomes. BACKGROUND Transradial access reduces bleeding and mortality in STEMI patients undergoing primary PCI. Little is known about access si...

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ژورنال

عنوان ژورنال: JACC: Cardiovascular Interventions

سال: 2017

ISSN: 1936-8798

DOI: 10.1016/j.jcin.2017.08.006