%0 Journal Article
%T Acceso radial durante la angioplast¨ªa primaria en el infarto agudo al miocardio
%A P¨¦rez
%A Luis
%A Venegas
%A Reinaldo
%A Lecannelier
%A Eduardo
%A Salda£¿a
%A ¨¢lvaro
%A Gajardo
%A Jorge
%A Parra
%A Jessica
%A Segall
%A Virginia
%A Robles
%A Isabel
%J Revista chilena de cardiolog¨ªa
%D 2011
%I Scientific Electronic Library Online
%R 10.4067/S0718-85602011000200005
%X background: radial access (ra) has been shown to help reduce vascular complications of coronary ar-teriography and angioplasty (ptca). however, little experience has been reported with ra to perform primary ptca in st elevation acute myocardial infarction (stemi). since december 2007, we selected ra as a first option for primary ptca in stemi. aim: to determine whether ra is as effective, safe and expeditious as femoral access (fa) in primary ptca for stemi method: we performed a retrospective review of our database of all patients undergoing primary ptca in our laboratory from sept 2005 through august 2009. we compared all patients who had a ptca using a fa to those in whom the ra was used. the door to balloon time, angiographic results, clinical success rate and complications related to the vascular access were compared between groups. follow-up was based con clinical visits and phone calls. values are expressed as mean and sd. results: 375 patients had an fa (75%) and 118 an ra (25%). mean age was similar in both groups (61¡À12 vs 62¡À12, respectively, ns). selected clinical characteristics did no differ between groups. door to balloon time was 62¡À37 min for fa and 61¡À29 min for ra (ns). clinical success rate exceeded 94% in both groups. vascular complications occurred in 3% in the af group. no vascular complications were observed in the ra group. thirty day overall mortality rates were 5.2% in fa and 4.0% in ra (ns). conclusion: radial access can be used for primary ptca in stemi with similar success rates and lower incidence of vascular complications, when compared to the traditional femoral access.
%K radial access
%K ptca
%K stemi.
%U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0718-85602011000200005&lng=en&nrm=iso&tlng=en