Safety and Efficacy of Transradial versus Transfemoral Approach in Primary Coronary Angioplasty for Acute ST Elevation Myocardial Infarction

Background: Several randomized trials performed showed increase safety and efficacy of Transradial approach in primary PCI when compared with Transfemoral approach. Method: this study included 75 patients presenting to the National Heart Institute for the first time with acute ST segment elevation myocardial infarction divided into two groups ; Group A included 25 patients who were treated by primary PCI by the trans radial approach technique. Group B included 50 patients who were treated by primary PCI by the trans femoral approach technique. this study showed significant difference regarding the puncture site complications 8% Results: transfemoral approach with no significant difference in other in transradial versus 40% in , sheath to cocrnary cannulation complications . There was a significant difference in time from 2 minutes in transfemoral and there was no significant 2.36 minutes in transradial versus 2.4 the results of the : Conclusion . in final echo and hospital stay rence between both groups diffe current study suggests the transradial approach as a safe and effective procedure with high success rate