Safety and feasibility of emergent percutaneous coronary intervention with the transradial access in patients with acute myocardial infarction  

作　　者：LI Wei-min LI Yue ZHAO Ji-yi DUAN Ya-nan SHENG Li YANG Bao-feng WANG Feng-long GONG Yong-tai YANG Shu-sen ZHOU Li-jun LIU Pei-dong ZHANG Li CHU Shan 

机构地区：[1]Department of Cardiovascular, First Affiliated Hospital, Harbin Medical University, Harbin 150001, China [2]Department of Pharmacology and Bio-pharmaceutical Key Laboratory of Heilongjiang Province and State, Harbin Medical University, Harbin 150086, China [3]Department of Cardiovascular, Fifth Hospital of Daqing City, Daqing 163711, China

出　　处：《Chinese Medical Journal》2007年第7期598-600,共3页中华医学杂志（英文版）

摘　　要：The use of intense anticoagulation and antiplatelet therapy in acute myocardial infarction （AMI）potentially increases the risk of bleeding complications during percutaneous coronary intervention （PCI） via the transfemoral approach. Recently, the transradial access has been increasingly employed as an alternative means for diagnostic and interventional procedures. Low incidence of vascular access site bleeding complications suggests the transradial approach as a safe alternative to the femoral technique in AMI, particularly under an aggressive anticoagulation/antiplatelet regimen.Nevertheless, the safety and feasibility of employing the transradial approach for primary PCI in AMI has not been thoroughly investigated so far.The use of intense anticoagulation and antiplatelet therapy in acute myocardial infarction （AMI）potentially increases the risk of bleeding complications during percutaneous coronary intervention （PCI） via the transfemoral approach. Recently, the transradial access has been increasingly employed as an alternative means for diagnostic and interventional procedures. Low incidence of vascular access site bleeding complications suggests the transradial approach as a safe alternative to the femoral technique in AMI, particularly under an aggressive anticoagulation/antiplatelet regimen.Nevertheless, the safety and feasibility of employing the transradial approach for primary PCI in AMI has not been thoroughly investigated so far.

关 键 词：TRANSRADIAL TRANSFEMORAL percutaneous coronary intervention acute myocardial infarction 

分 类 号：R542.22[医药卫生—心血管疾病] R654.2[医药卫生—内科学]