title: Transradial primary percutaneous coronary intervention - experience from a tertiary care cardiac centre.
abstract: OBJECTIVE
  To determine the outcomes of primary percutaneous coronary intervention via transradial approach in a tertiary care cardiac centre.
  
  
  METHODS
  The study retrospectively reviewed the medical records of 160 consecutive patients who presented to Tabba Heart Institute, a private-sector facility in Karachi, between January 2009 and January 2011 with acute ST-elevation myocardial infarction and treated with primary percutaneous coronary intervention via transradial approach. The primary end-points were in-hospital mortality and procedural success. Secondary end-points were access site bleeding complication and 30-day outcomes (mortality, myocardial infarction and congestive cardiac failure).
  
  
  RESULTS
  The mean age of the patients was 55.9+/-11.7 years and 126 (79%) were males. The procedural success was 98% (n=157). Three (1.8%) patients died during hospitalisation. Forearm haematoma (>5cm) was observed in three (1.8%) patients. No mortality was observed in 30-day follow-up after discharge, while myocardial infarction and congestive cardiac failure were 1.25% (n=2) and 4% (n=6) respectively.
  
  
  CONCLUSIONS
  High procedural success and favourable clinical outcomes matching the international data can be achieved in our patients undergoing primary percutaneous coronary intervention via transradial approach.
authors.affiliation: Tabba Heart Institute, Karachi. ahsdr1977@yahoo.com
authors.forename: Ayaz Hussain
authors.initials: AH
authors.lastname: Shaikh
authors.forename: Bashir
authors.initials: B
authors.lastname: Hanif
authors.forename: Asad
authors.initials: A
authors.lastname: Pathan
authors.forename: Shahrukh
authors.initials: S
authors.lastname: Hashmani
authors.forename: Mohsin
authors.initials: M
authors.lastname: Raza
authors.forename: Waqar
authors.initials: W
authors.lastname: Khan
authors.forename: Syed Muhammad Faisal
authors.initials: SM
authors.lastname: Hussain
authors.forename: Syed Muhammad Saad
authors.initials: SM
authors.lastname: Hussain
authors.forename: Sumaira
authors.initials: S
authors.lastname: Nasir
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D005260:Female; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality / Q000628:therapy*; D010154:Pakistan / Q000453:epidemiology; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D017534:Radial Artery; D012189:Retrospective Studies; D015996:Survival Rate / Q000639:trends; D062606:Tertiary Care Centers; D016896:Treatment Outcome