Transradial angioplasty for ST-elevation myocardial infarction

摘要

Use of the radial artery as the access site for cardiac interventions has been increasing over the last decade. With this, its application to primary percutaneous coronary intervention (PCI) for ST-elevation myocardial infarction (STEMI) has also become more common and continues to rise, with increasing interest across Europe and more recently the USA. The most obvious benefits of this approach are the increased mobility and patient comfort that is afforded by avoiding a femoral approach. However, as more data is generated for PCI in general and specifically for PCI for STEMI, the benefits of reductions in access site complications, and possibly major adverse cardiovascular events, are becoming apparent. These benefits are achieved without any significant reduction in efficacy. This combination suggests that the current trend of increasing adoption of the transradial approach in STEMI should continue to broaden.