Successful Outcome with Transradial Primary Percutaneous Coronary Intervention During Cardiopulmonary Resuscitation

Area of Science:

• Cardiology
• Interventional Cardiology
• Emergency Medicine

Background:

• ST Elevation Myocardial Infarction (STEMI) is a critical condition often requiring urgent intervention.
• Transradial access is associated with improved outcomes compared to femoral access in STEMI.
• Early percutaneous coronary intervention (PCI) improves survival in out-of-hospital cardiac arrest (OHCA).

Observation:

• Patients with STEMI may present with cardiogenic shock and cardiac arrest.
• The use of transradial intervention in STEMI patients undergoing cardiopulmonary resuscitation (CPR) is not well-established.
• This case details a transradial primary intervention performed during active CPR.

Findings:

• Successful transradial primary intervention was achieved in a patient with STEMI and cardiac arrest during CPR.
• The procedure was technically feasible despite the critical condition of the patient.
• This highlights the potential utility of transradial access in complex STEMI cases.

Implications:

• Transradial access may be a viable option for primary PCI in STEMI patients experiencing cardiac arrest and undergoing CPR.
• Further research is needed to confirm the safety and efficacy of this approach in a larger cohort.
• This approach could potentially improve outcomes for STEMI patients with cardiac arrest.