Abstract 13658: Comparison of Complications Between Transradial Approach and Transfemoral Approach for Patients With St-segment Elevation Myocardial Infarction
Introduction: Some trials have suggested that transradial intervention (TRI) reduces vascular complications and bleeding compared with transfemoral intervention (TFI).In this study,we aimed to assess the feasibility of TRI in patients with ST-segment elevation myocardial infarction(STEMI) who underwent primary percutaneous coronary intervention(PCI).
Methods: This study was multicenter,retrospective observational study.Between January 2006 and December 2010, a total of 550 STEMI patients underwent primary PCI.Out of these patients,TRI was performed in 208 patients and TFI was performed in 342 patients. The primary outcome was a composite of all-cause death,recurrent myocardial infarction,stroke,access site complications needing procedure,or non-coronary artery bypass graft(non-CABG)- related major bleeding at 30 days.Key secondary outcomes were all-cause death,recurrent myocardial infarction,or stroke;and access site complications needing procedure,or non-CABG-related major bleeding at 30 days.
Results and Conclusions: There was no statistical difference in patients characteristics between two groups.The primary outcome occurred in 7(3.4%) of 208 patients in TRI group compared with 39(11.4%) of 342 patients in TFI group (P=0.001).The rate of death,recurrent myocardial infarction,or stroke at 30 days was 5(2.4%) of 208 patients in TRI group compared with 31(9.1%) of 342 patients in TFI group(p=0.002). The rate of access site complications needing procedure,or non-CABG-related major bleeding at 30 days was 1(0.5%) of 208 patients in TRI group compared with 12(3.5%) of 342 patients in TFI group(p=0.023).TRI in patients with STEMI is feasible because of the lower rate of complications compared with TFI.
- © 2013 by American Heart Association, Inc.