{"id":5898,"date":"2011-01-21T12:00:03","date_gmt":"2011-01-21T17:00:03","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?p=5898"},"modified":"2011-07-19T17:44:14","modified_gmt":"2011-07-19T21:44:14","slug":"to-arms-or-maybe-not","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2011\/01\/21\/to-arms-or-maybe-not\/","title":{"rendered":"To Arms! Or, Maybe Not?"},"content":{"rendered":"<p>According to a <a href=\"http:\/\/heart.bmj.com\/content\/early\/2011\/01\/07\/hrt.2010.207043.full.pdf+html?papetoc\">recently published opinion piece<\/a> in a British cardiology journal, enthusiasm\u00a0for the transradial approach over the femoral approach in primary PCI is not justified.<\/p>\n<p>The authors cite numerous problems with the radial approach compared with the femoral approach\u00a0(i.e., up to a 10% crossover rate, prolonged procedure time, increased radiation exposure\u00a0for the patient and physician) and\u00a0a lack of compelling evidence that it reduces major adverse cardiac and cerebrovascular events in the setting of primary PCI. In conclusion, our colleagues from the other side of the pond \u2014\u00a0while acknowledging that\u00a0radial access does\u00a0offer clear benefit\u00a0for purely diagnostic angiography and elective PCI \u2014\u00a0encourage us to\u00a0keep a leg up (so to speak) when considering the radial approach for primary PCI.<\/p>\n<p>Is the radial approach for primary PCI a passing fad\u2026and likely to suffer the same fate as atherectomy and\u00a0polyester leisure suits?<\/p>\n<p><em><strong>Do you perform primary PCI via the radial approach?\u00a0 If so, how often?<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>According to a recently published opinion piece in a British cardiology journal, enthusiasm\u00a0for the transradial approach over the femoral approach in primary PCI is not justified. The authors cite numerous problems with the radial approach compared with the femoral approach\u00a0(i.e., up to a 10% crossover rate, prolonged procedure time, increased radiation exposure\u00a0for the patient and [&hellip;]<\/p>\n","protected":false},"author":214,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[302],"class_list":["post-5898","post","type-post","status-publish","format-standard","hentry","category-general","tag-primary-pci"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/5898","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/214"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=5898"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/5898\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=5898"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=5898"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=5898"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}