Cardiovascular revascularization medicine : including molecular interventions
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Cardiovasc Revasc Med · Sep 2012
Comparative StudyPercutaneous coronary intervention via the radial artery: comparison of procedural success in emergency versus non-emergency cases.
STEMI and unstable acute coronary syndromes are associated with widespread adrenergic activation which may increase radial artery (RA) spasm, requiring cross-over to the femoral artery (FA) during percutaneous coronary intervention (PCI). We assessed the incidence of failed trans-radial artery PCI in emergency cases compared with non-emergency cases. ⋯ The vast majority of PCI can be successfully performed via the RA. Cross-over rates to the FA are low and are not more common in emergency patients.