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Safety and efficacy of femoral access vs radial access in st-segment elevation myocardial infarction: The SAFARI-STEMI randomized clinical trial

JAMA Jan 10, 2020

Le May M, Wells G, So D, et al. - Researchers investigated the survival when using radial access instead of femoral access among patients with ST-segment elevation myocardial infarction referred for primary percutaneous coronary intervention via performing a multicenter randomized clinical trial enrolling 2,292 patients referred for primary percutaneous coronary intervention. This trial was stopped prematurely following a futility analysis. Outcomes revealed that 30-day all-cause mortality (17 [1.5%] vs 15 [1.3%] patients) was not significantly different between the use of radial access and femoral access. Findings thereby suggest the ability of sufficiently trained operators to deliver similar results when applying either radial access or femoral access for primary percutaneous coronary intervention.
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