American Heart Journal
Volume 158, Issue 5 , Pages 814-821 , November 2009

Transradial versus transfemoral percutaneous coronary intervention in acute myocardial infarction: Systematic overview and meta-analysis

  • András Vorobcsuk, MD

      Affiliations

    • Heart Institute, Faculty of Medicine, University of Pécs, Pécs, Hungary
  • ,
  • Attila Kónyi, MD

      Affiliations

    • Heart Institute, Faculty of Medicine, University of Pécs, Pécs, Hungary
  • ,
  • Dániel Aradi, MD

      Affiliations

    • Heart Institute, Faculty of Medicine, University of Pécs, Pécs, Hungary
  • ,
  • Iván G. Horváth, MD, PhD

      Affiliations

    • Heart Institute, Faculty of Medicine, University of Pécs, Pécs, Hungary
  • ,
  • Imre Ungi, MD

      Affiliations

    • 2nd Department of Internal Medicine, University of Szeged, Szeged, Hungary
  • ,
  • Yves Louvard, MD

      Affiliations

    • Institut Cardiovasculaire Paris Sud, Massy, France
  • ,
  • András Komócsi, MD, PhD

      Affiliations

    • Heart Institute, Faculty of Medicine, University of Pécs, Pécs, Hungary
    • Corresponding Author InformationReprint requests: András Komócsi, MD, PhD, University of Pécs, Heart Institute, H-7624 Pécs, Ifjúság u. 13., Hungary.

Received 28 June 2009 ,Accepted 21 August 2009.

References 

  1. Kiemeneij F, Laarman G. Percutaneous transradial artery approach for coronary stent implantation. Cathet Cardiovasc Diagn. 1993;30:173–178
  2. Agostoni P, Biondi-Zoccai G, de Benedictis M, et al. Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures; systematic overview and meta-analysis of randomized trials. J Am Coll Cardiol. 2004;44:349–356
  3. Jolly S, Amlani S, Hamon M, et al. Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials. Am Heart J. 2009;157:132–140
  4. Cooper C, El Shiekh R, Cohen D, et al. Effect of transradial access on quality of life and cost of cardiac catheterization: a randomized comparison. Am Heart J. 1999;138:430–436
  5. Mann JT, Cubeddu M, Schneider J, et al. Right radial access for PTCA: a prospective study demonstrates reduced complications and hospital charges. J Invasive Cardiol. 1996;8(Suppl D):40D–44D
  6. Cantor W, Puley G, Natarajan M, et al. Radial versus femoral access for emergent percutaneous coronary intervention with adjunct glycoprotein IIb/IIIa inhibition in acute myocardial infarction—the RADIAL-AMI pilot randomized trial. Am Heart J. 2005;150:543–549
  7. Charlat M. Rescue percutaneous coronary intervention using transradial arterial access with glycoprotein IIb/IIIa inhibitor eptifibatide therapy initiated post-fibrinolysis. J Invasive Cardiol. 2000;12(Suppl D):13D–15D
  8. Chen Y, Wu C, Chang H, et al. Effects and safety of intracoronary thrombectomy using transradial application of the PercuSurge distal balloon protection system in patients with early or recent myocardial infarction. Cardiology. 2004;102:206–214
  9. Louvard Y, Benamer H, Garot P, et al. Comparison of transradial and transfemoral approaches for coronary angiography and angioplasty in octogenarians (the OCTOPLUS study). Am J Cardiol. 2004;94:1177–1180
  10. Mann T, Cubeddu G, Bowen J, et al. Stenting in acute coronary syndromes: a comparison of radial versus femoral access sites. J Am Coll Cardiol. 1998;32:572–576
  11. Ochiai M, Isshiki T, Toyoizumi H, et al. Efficacy of transradial primary stenting in patients with acute myocardial infarction. Am J Cardiol 1999;83:966-8, A10.
  12. Valsecchi O, Musumeci G, Vassileva A, et al. Safety, feasibility and efficacy of transradial primary angioplasty in patients with acute myocardial infarction. Ital Heart J. 2003;4:329–334
  13. Chase A, Fretz E, Warburton W, et al. Association of the arterial access site at angioplasty with transfusion and mortality: the M.O.R.T.A.L study (Mortality benefit Of Reduced Transfusion after percutaneous coronary intervention via the Arm or Leg). Heart. 2008;94:1019–1025
  14. Eikelboom J, Mehta S, Anand S, et al. Adverse impact of bleeding on prognosis in patients with acute coronary syndromes. Circulation. 2006;114:774–782
  15. Manoukian S, Voeltz M, Eikelboom J. Bleeding complications in acute coronary syndromes and percutaneous coronary intervention: predictors, prognostic significance, and paradigms for reducing risk. Clin Cardiol. 2007;30:II24–II34
  16. Manoukian S, Feit F, Mehran R, et al. Impact of major bleeding on 30-day mortality and clinical outcomes in patients with acute coronary syndromes: an analysis from the ACUITY Trial. J Am Coll Cardiol. 2007;49:1362–1368
  17. Stroup D, Berlin J, Morton S, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA. 2000;283:2008–2012
  18. Biondi-Zoccai G, Lotrionte M, Anselmino M, et al. Systematic review and meta-analysis of randomized clinical trials appraising the impact of cilostazol after percutaneous coronary intervention. Am Heart J. 2008;155:1081–1089
  19. Jadad A, Moore R, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary?. Control Clin Trials. 1996;17:1–12
  20. Deeks J, Higgins J. The Cochrane collaboration handbook for systematic reviews of interventions. Statistical Algorithms in Review Manager 5 November 2007; 1-10. Available at http://www.cochrane.org/resources/handbook/Statistical/_Methods_in_RevMan5.pdfAccessed June 15, 2009
  21. Brasselet C, Tassan S, Nazeyrollas P, et al. Randomised comparison of femoral versus radial approach for percutaneous coronary intervention using abciximab in acute myocardial infarction: results of the FARMI trial. Heart. 2007;93:1556–1561
  22. Chodor P, Krupa H, Kurek T, et al. Radial versus femoral approach for percutaneous coronary interventions in patients with acute myocardial infarction. (RADIAMI) A prospective randomized, single center clinical trial. Cardiol J. 2009;16:332–340
  23. Saito S, Tanaka S, Hiroe Y, et al. Comparative study on transradial approach vs. transfemoral approach in primary stent implantation for patients with acute myocardial infarction: results of the test for myocardial infarction by prospective unicenter randomization for access sites (TEMPURA) trial. Catheter Cardiovasc Interv. 2003;59:26–33
  24. Yan Z, Zhou Y, Zhao Y, et al. Safety and feasibility of transradial approach for primary percutaneous coronary intervention in elderly patients with acute myocardial infarction. Chin Med J. 2008;121:782–786
  25. Hetherington SL, Adam Z, Morley R, et al. Primary percutaneous coronary intervention for acute ST-segment elevation myocardial infarction—changing patterns of vascular access, radial versus femoral artery. Heart. 2009;95:1612–1618
  26. Cruden NLM, Teh CH, Starkey IR, et al. Reduced vascular complications and length of stay with transradial rescue angioplasty for acute myocardial infarction. Catheter Cardiovasc Interv. 2007;70:670–675
  27. Diaz de la Llera LS, Fournier Andray J, Gomez MS, et al. Transradial approach for percutaneous coronary stenting in the treatment of acute myocardial infarction. Rev Esp Cardiol. 2004;57:732–736
  28. Kassam S, Cantor W, Patel D, et al. Radial versus femoral access for rescue percutaneous coronary intervention with adjuvant glycoprotein IIb/IIIa inhibitor use. Can J Cardiol. 2004;20:1439–1442
  29. Kim J, Yoon J, Jung H, et al. Feasibility of the radial artery as a vascular access route in performing primary percutaneous coronary intervention. Yonsei Med J. 2005;46:503–510
  30. Philippe F, Larrazet F, Meziane T, et al. Comparison of transradial vs. transfemoral approach in the treatment of acute myocardial infarction with primary angioplasty and abciximab. Catheter Cardiovasc Interv. 2004;61:67–73
  31. Yatskar L, Selzer F, Feit F, et al. Access site hematoma requiring blood transfusion predicts mortality in patients undergoing percutaneous coronary intervention: data from the National Heart, Lung, and Blood Institute Dynamic Registry. Catheter Cardiovasc Interv. 2007;69:961–966
  32. Bassand J, Hamm C, Ardissino D, et al. Guidelines for the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes. Eur Heart J. 2007;28:1598–1660
  33. Sciahbasi A, Pristipino C, Ambrosio G, et al. Arterial access-site-related outcomes of patients undergoing invasive coronary procedures for acute coronary syndromes (from the ComPaRison of Early Invasive and Conservative Treatment in Patients With Non-ST-ElevatiOn Acute Coronary Syndromes [PRESTO-ACS] Vascular Substudy). Am J Cardiol. 2009;103:796–800
  34. Sjauw K, Engstrom A, Vis M, et al. A systematic review and meta-analysis of intra aortic balloon pump therapy in ST-elevation myocardial infarction: should we change the guidelines?. Eur Heart J. 2009;30:459–468

PII: S0002-8703(09)00654-1

doi: 10.1016/j.ahj.2009.08.022

American Heart Journal
Volume 158, Issue 5 , Pages 814-821 , November 2009