Related Experiment Video
Updated: Jun 1, 2026
05:31
Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
Transradial approach in myocardial infarction
Hsu-Lung Jen1, Wei-Hsian Yin, Kuan-Chun Chen
1Division of Cardiology, Department of Internal Medicine, Cheng-Hsin General Hospital, Taipei, Taiwan, ROC.
Acta Cardiologica
|May 20, 2011
Summary
Routine transradial primary percutaneous coronary intervention (PCI) is feasible and safe for most acute ST-elevation myocardial infarction patients. This approach significantly reduces major bleeding complications compared to the transfemoral method.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Access
Background:
- Acute ST-elevation myocardial infarction (STEMI) requires timely reperfusion therapy.
- Percutaneous coronary intervention (PCI) is a primary treatment strategy for STEMI.
- Transradial approach (TRA) is an alternative vascular access route for PCI.
Purpose of the Study:
- To evaluate the feasibility, efficacy, and safety of routine primary PCI via TRA in STEMI patients.
- To compare outcomes between TRA and transfemoral approach (TFA) in STEMI patients.
Main Methods:
- Retrospective analysis of 122 consecutive STEMI patients treated between 2005-2007.
- Patients eligible for TRA if radial pulse was palpable, including those in cardiogenic shock.
- Comparison of procedural success, major adverse cardiac events (MACE), and bleeding complications between TRA and TFA groups.
Main Results:
- Eighty-five patients underwent TRA, and 37 underwent TFA.
- TRA was associated with significantly lower rates of major bleeding complications (P = 0.004).
- Procedural success rates were similar (P = 0.737), and 580-day MACE were comparable (P = 0.299) between groups.
Conclusions:
- Routine primary PCI via TRA is safe and successful in a majority of STEMI patients.
- TRA offers a significant reduction in major bleeding complications compared to TFA.
- TRA can be considered a primary revascularization strategy for STEMI.
Related Concept Videos
01:25Assessment of apical radial pulse
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
01:11Assessment of radial pulse
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps: