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| ID | Type | Description | Link |
|---|---|---|---|
| Lerrasmi | Registry Identifier | Lerrasmi |
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Outcomes of patients with acute ST-elevation myocardial infarction (STEMI) are directly related to reperfusion time. Effect of transradial approach (left vs right) on reperfusion time has not been fully studied for SETMI patients undergoing primary percutaneous coronary intervention (PCI). The aim of this study was to randomly investigate the efficacy and safety of left radial approach for primary PCI in STEMI patients compared with right radial approach.
The investigators will enroll consecutively for 3 years all STEMI patients undergoing primary PCI.
Patients will be included within 12 hours of symptom onset for primary PCI. Patients will be excluded if they are in cardiogenic shock.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Right radial approach | Experimental | Primary PCI performed through right radial approach. |
|
| Left radial approach | Experimental | Primary PCI performed through left radial approach. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Left radial approach | Procedure | Primary PCI performed through left radial approach. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Needle to balloon time | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Radiation dose | Radiation dose include cumulative air kerma (CAK) and CAK dose area product (CAK DAP) | 7 days |
| Fluoroscopy time | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Vascular complications | Vascular complications include pseudoaneurysm, arteriovenous fistula, lose of radial artery pulse, puncture site bleeding and forearm hematoma. | 7 days |
Inclusion Criteria:
All consecutive patients with ST-segment elevation myocardial infarction within 12 hours of symptom onset for primary PCI.
Exclusion Criteria:
Patients are excluded if they were in cardiogenic shock.
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| Name | Affiliation | Role |
|---|---|---|
| Buxing Chen, MD, Ph.D | Beijing Tiantan Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Tiantan Hospital, Capital Medical University | Beijing | 100050 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25018624 | Background | Hu H, Fu Q, Chen W, Wang D, Hua X, Chen B. A prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations. Clin Interv Aging. 2014 Jun 20;9:963-8. doi: 10.2147/CIA.S64235. eCollection 2014. |
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| Right radial approach | Procedure | Primary PCI performed through right radial approach. |
|
| Contrast volume | 7 days |
| ID | Term |
|---|---|
| D000072657 | ST Elevation Myocardial Infarction |
| ID | Term |
|---|---|
| D009203 | Myocardial Infarction |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
| D007238 | Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
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