Evidence‐based arterial access site practice in patients with acute coronary syndromes: Has SAFARI‐STEMI changed the landscape?. Issue 7 (10th April 2021)

• Record Type: Journal Article
• Authors: Nagaraja, Vinayak; Rao, Sunil V.; George, Sudhakar; Mamas, Mamas; Nolan, James
• Is Part Of: Catheterization and cardiovascular interventions. Volume 97:Issue 7(2021)
• Page Start: 1417
• Page End: 1421
• Publication Date: 2021-04-10
• Subjects: Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.29684
• Languages: English
• ISSNs: 1522-1946

Abstract

Key Points: Access site practice in acute coronary syndrome (ACS) has been extensively investigated with the data favoring a radial approach. SAFARI‐STEMI does not change the recommendation to use radial access in most patients due to methodological issues with the study. Barriers to widespread adoption of radial access can be overcome by education, training, and mentorship. It is important that operators are proficient in selective use of optimal alternative access techniques for some ACS patients.