title: Outcomes of transradial primary percutaneous intervention from a tertiary cardiac centre in Turkey.
abstract: OBJECTIVE
  The aim was to study transradial approach (TRA) and transfemoral approach (TFA) in terms of feasibility, effectiveness, usefulness, and procedure characteristics in patients having ST-segment elevation myocardial infarction (STEMI) and undergoing primary percutaneous coronary intervention (PCI). Along with the said aim, major adverse cardiovascular events (MACE) at follow-up were also compared.
  
  
  METHODS
  The present study was conducted on 344 consecutive patients having ST-segment elevation myocardial infarction and qualifying for PCI. Patients were classified into two groups according to radial and femoral approaches. Patients were followed-up for MACE.
  
  
  RESULTS
  PCI was found to be successful in all patients. In TRA group the time between the end of the intervention to removal of the sheath, and duration of mobilization and hospitalization were significantly shorter when compared to TFA group (12 ± 2 minutes vs. 240 ± 12 minutes; P = 0.001, 13 ± 2 hours vs. 22 ± 2 hours; P = 0.001, and 96 ± 45 hours vs. 125 ± 55 hours; P = 0.001, respectively). In TRA group, two patients had hematomas greater than 2 cm while fourteen patients in TFA group had hematomas greater than 5 cm (1% vs. 8%; P = 0.002). TRA group had lower in-hospital MACE rates (5% vs. 11%; P = 0.036). The long terms MACE rates of the groups were similar (23% vs. 22%; P = 0.888).
  
  
  CONCLUSIONS
  In patients with STEMI, PCI via TRA had the same effectiveness as TFA. Moreover, Time to ambulation and rates of bleeding complications were reduced by TRA, which allowed early rehabilitation. TRA reduced the incidence of in-hospital MACEs.
authors.affiliation: Department of Cardiology, Mevlana University, School of Medicine Konya, Turkey.
authors.forename: Seref
authors.initials: S
authors.lastname: Ulucan
authors.affiliation: Department of Cardiology, Mevlana University, School of Medicine Konya, Turkey.
authors.forename: Zeynettin
authors.initials: Z
authors.lastname: Kaya
authors.affiliation: Department of Cardiology, Mevlana University, School of Medicine Konya, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Keser
authors.affiliation: Department of Cardiology, Mevlana University, School of Medicine Konya, Turkey.
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Katlandur
authors.affiliation: Department of Cardiology, Mevlana University, School of Medicine Konya, Turkey.
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Özdil
authors.affiliation: Department of Cardiology, Kazakh National University of S. D. Asfendiyarov Almaty, Kazakhstan.
authors.forename: İsmail
authors.initials: İ
authors.lastname: Ateş
authors.affiliation: Department of Cardiology, Mevlana University, School of Medicine Konya, Turkey.
authors.forename: Mehmet S
authors.initials: MS
authors.lastname: Ulgen
keywords: Transradial approach; primary percutaneous coronary intervention; st-segment elevation myocardial infarction; transfemoral approach