Conventional vs. Distal Radial Access Outcomes in STEMI Patients Treated by PCI

Adverse Clinical Outcomes Associated With Conventional Versus Distal Radial Access in Patients With Acute Coronary Syndrome With ST-segment Elevation Treated by Percutaneous Coronary Intervention

This clinical trial aims to compare conventional radial access versus distal radial access in patients with STEMI undergoing PCI. The main question it aims to answer is: • Mayor adverse cardiac events (MACE) at 30 days in STEMI patients treated by PCI are not inferior when comparing the distal radial approach versus the conventional radial approach ? Participants will: sign the informed consent to enroll in the clinical trial. will agree to be treated by PCI will be randomized 1:1 to perform PCI by conventional radial or distal radial approach. If there is a comparison group: Researchers will compare conventional radial access vs distal radial access to see if the distal approach is not inferior compared to the conventional radial access in order to offer less or equal MACE and a similar rate of a successful procedure.

composite of adverse events of all-cause mortality, myocardial infarction, cerebral vascular event, BARC 3 (Bleeding Academic Research Consortium)

death, myocardial infarction and cerebral vascular event at 30 days (yes / no), bleeding measure will be with BARC classification.

Inclusion Criteria: STEMI patients underwent PCI. Patent radial access (distal and conventional) Patients who agree to participate in the study and sign the informed consent form. Exclusion Criteria: Cardiogenic shock. Previous coronary artery bypass grafting (CABG). Absence of palpable radial pulse. Arteriovenous fistula for hemodialysis. Previous radial artery occlusion.

IPD will be shared for related studies, without distinctions in the nature of each study, information may be freely requested directly by e-mail and each request will be evaluated by the principal investigator of the study.

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