Single catheter strategy for transradial angiography and primary percutaneous coronary intervention enhances procedural efficiency, microvascular outcomes, and cost-effectiveness: Implications for STEMI healthcare in resource-limited settings
A single catheter strategy for both angiography and pPCI in STEMI patients was associated with a significant reduction in FluTD time and improved microvascular perfusion, without compromising device safety or efficacy. In low- and middle-income countries (LMICs), where intra- and extra-procedural delays are often more pronounced, inclusion of the single catheter strategy can optimize catheterization workflows and yield substantial cost-savings.
Authors
- Dharaneswari Hari Narayanan
- Nagendra Boopathy Senguttuvan (ORCID: https://orcid.org/0000-0003-4979-596X)
- Sadhanandham Shanmugasundaram
- Jayanty Venkata Balasubramaniyan (ORCID: https://orcid.org/0000-0002-6181-3828)
- Asuwin Anandaram (ORCID: https://orcid.org/0009-0006-9001-0342)
- Susheel K. Gunasekar
- Srinivasan Shanmugam (ORCID: https://orcid.org/0000-0002-5889-2297)
- Pavitraa Saravana Kumar
- Ramesh Sankaran (ORCID: https://orcid.org/0000-0003-0139-2715)
- J. Joseph (ORCID: https://orcid.org/0009-0003-2302-6449)
- Vinod Kumar Balakrishnan
- Harilalith Kovvuri
- Mohajit Arneja
Institutions
- Lehigh Valley Hospital-Pocono (US)
- Sri Ramachandra Institute of Higher Education and Research (IN)
- Lehigh Valley Health Network (US)
Publication Details
- Journal
- PLoS ONE
- Published
- 2025-12-01
- DOI
- https://doi.org/10.1371/journal.pone.0337841
- Primary Topic
- Vascular Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00