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New Approach for STEMI (Heart Attack) Patients Performed Through the Patient’s Wrist

June 28, 2011

Kissimmee, FL—Central Florida Cardiac and Vascular Institute of Osceola Regional Medical Center continues to be the pioneer in cardiovascular care.  On March 10, 2011, Dr. Atul Madan, MD, an interventional cardiologist with the Cardiac Clinic and affiliated with the Cardiac and Vascular Institute, performed the Institute’s first STEMI (ST-Segment Elevation Myocardial Infarction) through the radial artery. 

Transradial procedure or radial approach is a cardiac catheterization procedure performed in select patients through the wrist blood vessel called the radial artery.  This procedure has several advantages over the standard cardiac catheterization procedure which in a majority of cases is performed through the femoral blood vessel (artery) in the groin.

 During a STEMI (a type of heart attack), time is of the essence.  A STEMI occurs when a clot interrupts blood flow to the heart.  Central Florida Cardiac and Vascular Institute consistently beats the national standard STEMI Time or “Door-to-Balloon”, the time taken from arrival to the Emergency Department to the opening of the artery. 

 STEMIs are treated with balloon angioplasty and stent procedures.  Balloon angioplasty requires the insertion of a catheter into the patient’s artery and threading it through to the heart.  Patients generally receive anticoagulants to dissolve the clot, along with balloon angioplasty. Because of the anticoagulants, it’s important to control patient bleeding. In a Radial approach STEMI, inserting the catheter into the radial artery via the wrist tends to cause less bleeding than groin insertion, an important benefit of the this novel procedure.  Additionally, the procedure offers patients the ability to begin walking sooner (earlier ambulation) and return to daily living activities.

 “Research has consistently shown that the Transradial approach significantly reduces complications by 70% compared to the conventional approach,” said Dr. Madan. “This innovative approach for STEMI is a safer alternative to traditional treatment and improves patient outcomes.”

 Patients who suffer a STEMI need immediate care in the Emergency Department (ER).  STEMIs are identified in the field by local EMTs or by an ER healthcare team.  Once the “Code STEMI” is activated, a multidisciplinary team is alerted to unblock the blood vessel responsible for the heart attack in less than 90 minutes – the national standard of “Door-to-Balloon” or STEMI Times – saving heart muscle and preventing heart failure and death.

 Osceola Regional Medical Center offers state of the art technology and innovative specialized cardiovascular procedures in Central Florida.  “Our goal is to remain at the forefront of cardiovascular care,” said Kathryn Gillette, CEO of Osceola Regional Medical Center. “Providing our community the best in cardiac and vascular care is our top priority.”


About Osceola Regional Medical Center:

 Osceola Regional Medical Center is a state-of-the-art hospital offering comprehensive services including a premier multi-million dollar, five-story cardiac care tower housing The Central Florida Cardiac & Vascular Institute. The Institute offers advanced comprehensive heart care from diagnostics and treatment, including minimally invasive cardiac and vascular surgery to cardiac rehabilitation. Visit www.HeartHappensHere.com for more information.

 About Cardiac Clinic

 Cardiac Clinic was founded almost 30 years ago by Dr. Sunil Kakkar.  Since then, the group has grown to have seven physicians.   The group is at the forefront to acquire and master latest technology and skills in Cardiology. The physicians at Cardiac Clinic provide all aspects of cardiac care for the community including preventive, general, invasive (coronary, carotid and peripheral), noninvasive (echos, nuclear cardiology, dopplers), interventional (coronary and peripheral angioplasty/stents), and Electrophysiology (implantation of pacemakers, defibrillators and arrhythmia ablations).  Atul Madan, MD, joined the Cardiac Clinic in 2005 after finishing his training at Brigham and Women’s Hospital (Harvard Medical School) in Boston, MA.  He is well versed in radial artery procedures and does most of his heart catheterization by this approach.  He along with his fellow cardiologists is pleased to offer this new procedure to the patients in the community.  Dr. Madan can be contacted at 311 West Oak Street, Kissimmee, FL 34741, Tel: (407) 933-1423.

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Vanessa Guevara
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