Procedural time of PPCI (wire crossing time) in acute STEMI via radial approach versus femoral approach
Keywords:
Primary percutaneous coronary intervention (PPCI), Acute ST-segment elevation myocardial infarction (STEMI), Radial approach, Procedural time, wire crossing timeAbstract
Objective: The study aimed to compare the procedural time (wire crossing time) of primary percutaneous coronary intervention (PPCI) in patients with acute ST-segment elevation myocardial infarction (STEMI) using the radial approach versus the femoral approach. Study Design: A single-center, observational, retrospective cohort study was conducted. Setting: The study was carried out in the Cardiology Department of Saidu Group of Teaching Hospital (SGTH) in the period from July, 2022 TO December, 2022. Methods: Medical records of patients with acute STEMI who underwent PPCI using either the radial or femoral approach were retrospectively reviewed. Demographic, clinical, and procedural data were collected, and the primary outcome was the procedural time (wire crossing time) for each approach. Results: A total of 276 patients were included in the study, with 137 in the radial approach group and 139 in the femoral approach group. The mean procedural time (wire crossing time) was significantly longer in the radial approach group (29.6 ± 7.3 minutes) compared to the femoral approach group (24.2 ± 6.5 minutes), p<0.001. Conclusion: In patients with acute STEMI undergoing PPCI, the radial approach was associated with a longer procedural time (wire crossing time) compared to the femoral approach.
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References
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