Research progress on the choice of percutaneous coronary intervention approach in patients with acute myocardial infarction complicated with cardiogenic shock
Ma Haoran
Zhang Xinyong
Zhang Minghui
Wang Wenxuan
Cui Haidong
Chen Haigang
Abstract：Cardiogenic shock is a serious and fatal complication of acute myocardial infarction.About 5％-10％of patients with acute myocardial infarction will develop cardiogenic shock,and the mortality rate is as high as 40％-50％.Timely and effective revascularization can maximize the rescue of ischemic myocardium,restore heart pump function,and significantly improve the survival rate of patients.Percutaneous coronary interven-tion is currently the main revascularization method.In percutaneous coronary intervention,the choice of vascular approach has an important impact on the prognosis of patients and the incidence of complications.At present,radial artery and femoral artery are commonly used interventional access.Radial artery approach has significant advantages in reducing bleeding complications,but femoral artery approach still plays an irreplaceable role in complex operations and mechanical support.Most access studies recommend that radial access should be preferred when conditions permit,and femoral access should be selected in certain circumstances,but the best access for patients with cardiogenic shock is still inconclusive.This article will briefly review the related research and clinical practice of the choice of percutaneous coronary intervention approach in patients with acute myocardial infarction complicated with cardiogenic shock.
Keywords：Acute myocardial infarctionCardiogenic shockPercutaneous coronary interventionTransfemoral approachTransradial approach
Publication Date：2025-12-18
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 1877-1880 )