Transradial Procedure:   A Novel Approach for STEMI (Heart Attack) Patients Performed Through the Patient’s Wrist

Dr. Atul MadanCentral 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.”


Additional Information

For more information on Radial STEMI or to obtain a free physician referral please call 1-800-447-8206.