Cardiac arrest & resuscitation
Radial versus femoral access in ST-elevation myocardial infarction complicated by out of hospital cardiac arrest
Authors' conclusion
In our analysis, femoral access was associated with a higher incidence of the primary composite outcome compared to radial access, in patients with STEMI complicated by OHCA undergoing emergent CAG.
Study context
- Population
- Patients with ST-elevation myocardial infarction (STEMI) complicated by of hospital cardiac arrest (OHCA) admitted to the catheterization laboratory, January 2007–December 2022184 with primary endpoint
- Participants
- 311 patients
- Exposure
- Femoral vs radial access
- Outcome
- Composite of in-hospital all-cause death and/or bleeding of any type and/or stent thrombosis
- Follow-up
- In-hospital
Methodological detailssingle-centre, propensity-score matched, consecutive patients
- Single-centre
- Propensity-score matched
- Consecutive patients
Main finding
As reported in the abstract
Composite of:
- In-hospital all-cause death
- Bleeding of any type
- Stent thrombosis
Femoral vs RadialOdds ratio (95 % CI)P value
Univariate
2.36(1.38–4.08)
P = 0.01Multivariate
2.25(1.05–4.91)
P = 0.04- Consistent results after propensity score matching
- OR = 1.97; 95 % CI [1.09-3.58], p = 0.03
Observational data: associations, not effects.
Original publication
Radial versus femoral access in ST-elevation myocardial infarction complicated by out of hospital cardiac arrest. Resuscitation. Published 5 August 2025. doi:10.
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