Transradial primary percutaneous coronary intervention — experience from a tertiary care cardiac centre. | [Journal of Pakistan Medical Association • 2013]

Author(s):

1. Ayaz Hussain Shaikh: Tabba Heart Institute, Karachi, Pakistan

2. Bashir Hanif: Tabba Heart Institute, Karachi, Pakistan

3. Asad Pathan: Tabba Heart Institute, Karachi, Pakistan

4. Shahrukh Hashmani: Tabba Heart Institute, Karachi, Pakistan

5. Mohsin Raza: Tabba Heart Institute, Karachi, Pakistan

6. Waqar Khan: Tabba Heart Institute, Karachi, Pakistan

7. Syed Muhammad Faisal Hussain: Tabba Heart Institute, Karachi, Pakistan

8. Syed Muhammad Saad Hussain: Tabba Heart Institute, Karachi, Pakistan

9. Sumaira Nasir: Tabba Heart Institute, Karachi, Pakistan

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 STelevation 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.

Page(s): 731-734

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 63, Issue: 6, Year: 2013

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