Heart 2008;94:1530-1532
EDITORIALS
Should radial artery access be the "gold standard" for PCI?
1 University Hospital of Caen, Caen, France
2 University Hospital of North Staffordshire, Stoke-on-Trent, UK
Professor M Hamon, Service des Maladies du Coeur et des Vaisseaux, UF Soins Intensifs Cardiologiques, Centre Hospitalier Universitaire de Caen, Avenue Côte de Nacre 14033 Caen, Normandy, France, Cedex; hamon-m@chu-caen.fr
| The first 150 words of the full text of this article appear below. |
Consider this situation. A 65-year-old patient admitted to hospital with a troponin-positive acute coronary syndrome (ACS) is initially managed with intensive antithrombotic therapy. Angiography is performed via the femoral artery, demonstrating a tight thrombus-containing lesion in the left anterior descending artery that involves the first diagonal branch. Percutaneous coronary intervention (PCI) is performed, with a stent implanted into the left anterior descending artery, using a kissing balloon procedure to achieve an excellent final result. After this successful and uneventful procedure, the patient is transferred back to the cardiology ward. On arrival at the ward it is noted that the patient has a low blood pressure and complains of groin discomfort. Inspection shows an extensive haematoma at the femoral puncture site. A large and expanding haematoma is demonstrated by ultrasound examination with an associated fall in haemoglobin to 7.2 g/dl. An immediate transfusion of three units of blood is administered and
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