Transradial Artery Access in Percutaneous Coronary Intervention for ST-Segment Elevation Myocardial Infarction and Cardiogenic Shock.

Current Treatment Options in Cardiovascular Medicine
Matthew S SchoenfeldBinita Shah

Abstract

Early revascularization is the gold standard for management of patients with ST-elevation myocardial infarction (STEMI) and cardiogenic shock (CS). The use of transradial artery access (TRA) in percutaneous coronary intervention (PCI) has increased in recent years and has emerged as a safe and effective approach to PCI in high-risk patients, with advantages in reduced major bleeding events, other peri-procedural complications, and all-cause mortality when compared with transfemoral artery access (TFA). Multiple randomized clinical trials have demonstrated these advantages of TRA vs. TFA PCI in STEMI patients. Although there remains a lack of dedicated randomized trials in CS, observational data suggest benefits on the same endpoints as in STEMI with TRA vs. TFA PCI in CS. This review summarizes the existing literature on the use of TRA compared to TFA for STEMI and CS patients; the reduction of major bleeding events, other peri-procedural complications, and mortality associated with TRA in STEMI and CS; and technical considerations and challenges in the care of these high-risk patient populations.

References

Dec 8, 2000·Italian heart journal. Supplement : official journal of the Italian Federation of Cardiology·G Bernardi
Feb 15, 2001·JAMA : the Journal of the American Medical Association·J S HochmanUNKNOWN SHOCK Investigators. Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock
Jul 28, 2005·JAMA : the Journal of the American Medical Association·Anvar BabaevUNKNOWN NRMI Investigators
Oct 29, 2005·The American Journal of Cardiology·Sunil V RaoRobert A Harrington
Jun 6, 2006·Journal of the American College of Cardiology·Robert L McNamaraUNKNOWN NRMI Investigators
May 30, 2009·Journal of the American College of Cardiology·Brendan J DoyleDavid R Holmes
Jul 25, 2009·JACC. Cardiovascular Interventions·P Michael GrossmanUNKNOWN Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2)
Sep 8, 2011·Journal of Interventional Cardiology·Alessandro SciahbasiErnesto Lioy
Jun 29, 2012·Circulation. Cardiovascular Quality and Outcomes·Matthew D MitchellCreighton W Don
Oct 30, 2012·Journal of the American College of Cardiology·Shamir R MehtaUNKNOWN RIVAL Investigators
Dec 19, 2012·Circulation·Patrick T O'GaraUNKNOWN American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Feb 27, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Toshiharu FujiiYuji Ikari
Mar 5, 2013·American Heart Journal·Ian C Gilchrist, Sunil V Rao
Mar 5, 2013·American Heart Journal·Oriol Rodriguez-LeorAntoni Bayes-Genis
Jun 19, 2013·JACC. Cardiovascular Interventions·Mamas A MamasUNKNOWN British Cardiovascular Intervention Society and the National Institute for Cardiovascular Outcomes Research
Nov 26, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Austin ChiangAjay J Kirtane
Jun 4, 2014·American Heart Journal·Mamas A MamasUNKNOWN National Institute for Cardiovascular Outcomes Research
Sep 28, 2014·The American Journal of Cardiology·Lorenzo AzzaliniHung Q Ly
Jun 1, 2015·The American Journal of Cardiology·Jeffrey LeBinita Shah
Aug 6, 2015·Heart·Giancarlo MarenziAntonio L Bartorelli
Aug 11, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Tejas PatelSamir Pancholy
Apr 7, 2016·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Giuseppe AndòMarco Valgimigli

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Citations

Jul 1, 2020·Angiologii︠a︡ i sosudistai︠a︡ khirurgii︠a︡ = Angiology and vascular surgery·S P SemitkoUNKNOWN Participants of the open registry COMPAAS

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