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Transradial access should be preferred in all patients with acute coronary syndrome?The game is not yet over
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- Author:
- No author available
- Journal Title:
- Chinese Medical Journal
- Issue:
- 14
- DOI:
- 10.3760/cma.j.issn.0366-6999.20131036
- Key Word:
- No keyword available
Abstract： To the editor:We read with great interest a longitudinal study by Zhang et al.1 The authors reported that transradial approach (TRA) reduced bleeding complication,and improved 30-day clinical outcomes.Despite a non-randomized study,it would provide an important contribution regarding TRA in patients with ST-segment elevation myocardial infarction (STEMI) treated with contemporary antitrombotic therapy such as tirofiban,which still remains unclear.
- [1]ZHANG Qi,QIU Jian-ping,ZHANG Rui-yan,etc.Improved outcomes from transradial over transfemoral access in primary percutaneous coronary intervention for patients with acute ST-segment elevation myocardial infarction and upstream use of tirofiban[J].2013,(6).
- [2]Newby,L.K.,Armstrong,P.W.,Giugliano,R.P.,etc.Radial versus femoral access, bleeding and ischemic events in patients with non-ST-segment elevation acute coronary syndrome managed with an invasive strategy[J].2013,165(4).
- [3]John Cairns,Vladimír D?avík,Vicent Valentin,etc.Effect of Radial Versus Femoral Access on Radiation Dose and the Importance of Procedural Volume: A Substudy of the Multicenter Randomized RIVAL Trial.[J].2013,6(3).
- [4]Loschiavo,P.,Agostoni,P.,Sciahbasi,A.,etc.Radial versus femoral randomized investigation in st-segment elevation acute coronary syndrome: The rifle-steacs (radial versus femoral randomized investigation in st-elevation acute coronary syndrome) study[J].2012,60(24).