Left vs Right Radial Approach in the Setting of Primary Percutaneous Coronary Intervention for ST-elevation Myocardial Infarction

Capital Medical University

Status: Completed

Conditions: Transradial Approach, Primary PCI, ST-segment Elevation Myocardial Infarction

Treatments: Procedure: Right radial approach; Procedure: Left radial approach

Study type: Interventional

Funder types: Other

Identifiers

NCT02239757

LERRASMI

Lerrasmi (Registry Identifier)

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 200 patients

Sex: All

Ages: 20 to 80 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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200 participants in 2 patient groups

Right radial approach

Experimental group

Description:

Primary PCI performed through right radial approach.

Treatment:

Procedure: Left radial approach

Left radial approach

Experimental group

Description:

Primary PCI performed through left radial approach.

Treatment:

Procedure: Right radial approach