Radial First in ST-Segment-Elevation Myocardial Infarction

Jolly, Sanjit S.; Nolan, James

Abstract

As young interventionalists, we recall randomizing patients with ST-segment–elevation myocardial infarction (STEMI) into studies such as the RIVAL trial (the Radial Versus Femoral Access for Coronary Angiography and Intervention) and struggling with a subclavian loop or variant arm anatomy but completing the case.1 It attracted attention from senior colleagues, and we were told that it may not be safe to do STEMI cases radially due to the inherent time delay associated with these type of technical issues. They asked not to randomize patients themselves but thankfully supported the scientific endeavor and the trials continued.

Citation

Jolly, S. S., & Nolan, J. (2021). Radial First in ST-Segment-Elevation Myocardial Infarction. Circulation: Cardiovascular Interventions, 14(3), Article ARTN e010595. https://doi.org/10.1161/CIRCINTERVENTIONS.121.010595

• Journal Article Type: Editorial
• Acceptance Date: Mar 1, 2021
• Publication Date: 2021-03
• Deposit Date: Jun 27, 2023
• Journal: CIRCULATION-CARDIOVASCULAR INTERVENTIONS
• Print ISSN: 1941-7640
• Publisher: American Heart Association
• Peer Reviewed: Peer Reviewed
• Volume: 14
• Issue: 3
• Article Number: ARTN e010595
• DOI: https://doi.org/10.1161/CIRCINTERVENTIONS.121.010595
• Keywords: coronary angiography; acute coronary syndrome; Editorials; transradial; attention