5^th International Heart Conference

I, Dr. Fahdia Afroz am a cardiologist. Now working as an assistant professor of cardiology with the responsibility of resident physician at National Institute of Cardiovascular Diseases (NICVD), Bangladesh. As per my present post, I am entitled to perform both teaching and clinical activities, and Cath lab activities. I am involved in conducting lecture classes, clinical classes, training of residents and other trainees, organizing assessments, clinical sessions, seminars and workshops. I always try to present myself as a researcher in the field of newer interventional procedure with the intention of ensuring convenience for the patients, minimizing the complications as well as avoiding uneventful situations. I always hope my endeavor in this field will develop and establish something new and innovative. This research of mine will work to the effect of substantiating the concept of primary PCI in radial route, and mitigate the complications relating to primary PCI intervention.

Statement of the Problem: Primary percutaneous coronary intervention (PPCI) has been performed traditionally by using femoral approach. Transradial approach has become increasingly popular as it is likely to be less complicating, more comfortable and relatively cost-effective having mortality and morbidity benefits. The aim of the study was to compare the in-hospital outcomes of transradial PPCI with that of transfemoral route. Methodology & Theoretical Orientation: This prospective observational study was conducted in the Department of Cardiology, National Institute of Cardiovascular Diseases (NICVD), Dhaka, between August 2016 and April 2017. A total of 80 patients with STEMI who underwent PPCI were enrolled in the study. Patients were

divided in two groups. Group-I: transradial PPCI; and Group-II: transfemoral PPCI. All patients were followed up during the period of hospital stay and adverse outcomes were observed and compared between the groups. Findings: The result showed that bleeding took place in 2.5% patient of Group-I and 15% patients of Group-II. Vascular complications occurred in 2.5% and 12.5% patients of Group-I and Group-II, respectively. In Group-II, 7.5% patients died with none in Group-I In Group-II, 37.5% patients experienced some sort of adverse outcomes whereas only 15% of the patients of Group-I did have such

experiences (p<0.05). Bleeding and vascular complications were significantly more in Group-II (p<0.05). The mean hospital stay time was significantly lower in Group-I (p<0.001). Conclusion & Significance: Transradial PPCI is safer than transfemoral approach in respect of procedural and post procedural complications including bleeding, vascular complications and mortality. Moreover, it has statistically significant shorter mean duration of hospital stay time. Transradial access for STEMI by experienced operators is associated with

decreased bleeding, vascular complications and improved survival. So, transradial approach may be an attractive alternative to conventional transfemoral approach and can be practiced routinely for PPCI.