Comparison of Radial versus Femoral Approach for Primary Percutaneous Intervention
Asad Aslam Korejo, Zuhaib Zahoor Soomro, Shehla Channa, Gul Hassan Brohi, Asad Ali, Jawaid Akbar Sial
Aim: To compare the outcome of radial versus femoral approach for primary percutaneous intervention in the patients with acute ST-segment elevation myocardial infarction.
Study design: Descriptive cross sectional study.
Place and duration of study: Department of Adult Cardiology, National Institute of Cardiovascular Diseases, Karachi from 29th March 2016 to 29th October 2017.
Methodology: Two hundred and fifty patients fulfilling selection criteria were selected. The demographics of patients (name, age, gender and duration of STEMI) were obtained. Cases were randomly divided in two equal groups. In group A, PCI was done through radial artery and in group B, PCI was done through femoral artery. Local anesthesia was given, then time of arrival of patient was noted and after PCI performed, again time was noted. Total procedural time was measured. I
Results: In group A (radial) mean age of patients was 59.94 with standard deviation 9.15. In group B (femoral) mean age was 59.63±8.91. In group A, 38 (30.4%) were females and 87 (69.6%) were males while in group B, 54 (43.2%) were female and 71 (56.8%) were male patients. In group A, 120 (96%) showed no bleeding and 5 (4%) showed bleeding and in group B, 117 (93.6%) showed no bleeding and 8(6.4%) showed bleeding. Overall 237 (94.8%) showed no bleeding and 13 (5.2%) showed bleeding in patients (P=0.57)..
Conclusion: Radial access for STEMI is related with diminished bleeding, better endurance and clinical advantage. It keeps up utilization of the radial approach as a best option in PCI following appropriate preparing. Keywords: Percutaneous coronary intervention (PCI), STEMI, Transradial, Transfemoral, Myocardial infarction