✨Radial access LAD stent (PCI) done for double vessel CAD - STEMI at ICMC General Hospital

Patient overview
A 50 years old male presented with anterior squeezing chest pain of 4 hours duration not relieved by ibuprofen associated with nausea, vomiting of ingested mater and easy fatigability. He has No hx of HTN, or smoking. He is a knonw DM patient on treatment not adherent to his medication

Physical exam
GA- Comfortable
VS- All are in normal range
PE- Unremarkable exam

Investigation
ECG- Inferior wall MI
ECHO- IHD with preserved LV systolic dysfunction
Angiography -Double vessel coronary artery disease (CAD) - STEMI - The left anterior descending artery (LAD) & Right Coronary Artery (RCA)

Diagnosis
Inferior wall STEMI + Poorly controlled T2DM

Procedure
Radial access LAD stent (PCI) done for double vessel CAD - STEMI

Post op
The patient has smooth & Fast recovery course.
ECHO - Normal Echocardiography Radial access PCI (Percutaneous Coronary Intervention) and femoral access PCI are both techniques used to perform coronary angiography and interventions like stent placement. But Radial artery access offers many benefits to patients over femoral access, including
- Lower Risk of Complications: Radial access tends to have fewer complications related to bleeding, hematomas, and arterial dissection compared to femoral access.
- Quicker Recovery: Patients can often ambulate and sit up immediately after the procedure, leading to a quicker discharge.
- Reduced Risk of Limb Ischemia: Since the radial artery is a smaller vessel, there is a lower risk of causing ischemia (lack of blood supply) to the limb.
- More Comfortable for Patients: Since the access is at the wrist, patients can usually move around and are generally more comfortable post-procedure.
- Lower Mortality Rate: Radial access is associated with lower mortality in high-risk patients, including those with acute coronary syndrome (ACS) and those who are elderly or have comorbidity (e.g., diabetes, chronic kidney disease, etc.). This is partly due to the reduced risk of major bleeding and vascular complications (e.g., hematomas, large groin puncture) that can increase morbidity and mortality in patients. Several studies have shown that the lower complication rates with radial access are linked to better short- and long-term outcomes, potentially contributing to a lower risk of mortality.