Mean Fluoroscopic Time and Mean Contrast Volume used in STEMI Patients Undergoing Primary PCI by the Trans femoral versus Trans radial Route

Abstract

Objectives: Cardiovascular diseases are recognized as main cause of morbidity and mortality worldwide. Approximately 38% of patients presented with ACS have STEMI. Multiple studies showed that PPCI is a gold standard strategy. Conventional approach of PCI has been through femoral artery, Trans-radial access is gaining overwhelming acceptability because of lower rates of complications, reduces mortality, earlier mobilization and improved patient’s satisfaction. Radiation exposure can be assessed by fluoroscopy time and increased radiation exposure is harmful for patients and operators. Contrast induced AKI remains one of the major complications that correlated with contrast volume and the patients’ known condition. This study will help us in finding out the better approach for PCI. To compare trans-radial and trans-femoral route for fluoroscopic time and contrast used during PPCI. Methodology: Study conducted at NICVD Karachi, including both genders. Patient’s demographic data taken. The choice of access route for procedure will be at the discretion of the operator. Study outcome recorded as fluoroscopic time (minutes) and contrast volume(milliliter). Data analyzed by using SPSS version-21. Normality of quantitative (continuous) variables tested by Shapiro-Wilk test while Comparison quantitative outcome variables, such as fluoroscopic time and contrast volume, between Exposed and Unexposed Group will be made by sample t-test. P-value of ≤ 0.05 will considered significant. Results: We enrolled 131 patients in each group, 83.1% males and 16.9% were females. Mean fluoroscopic time via transfemoral is 12.2 and 15.23 via transradial. However, the mean contrast volume used via transfemoral is 134.14 and 144.05 via transradial Conclusion: This study concluded that fluoroscopic time and contrast used during PCI is significantly less in trans-femoral route as compared to trans-radial, but still trans-radial approach is getting advanced and familiar.