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

Mohajit Arneja; Swetharajan Gunasekar; Dharaneswari Hari Narayanan; Joshma Joseph; Harilalith Kovvuri; Sharath Shanmugam; Pavitraa Saravana Kumar; Asuwin Anandaram; Vinod Kumar Balakrishnan; Jayanty Venkata Balasubramaniyan; Sadhanandham Shanmugasundaram; Sankaran Ramesh; Nagendra Boopathy Senguttuvan

doi:10.1371/journal.pone.0337841

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Peer-reviewed

Research Article

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

Mohajit Arneja ,

Contributed equally to this work with: Mohajit Arneja, Swetharajan Gunasekar, Dharaneswari Hari Narayanan

Roles Data curation, Formal analysis, Investigation, Methodology, Writing – original draft, Writing – review & editing

Affiliation Department of Cardiology, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India
⨯
Swetharajan Gunasekar ,

Contributed equally to this work with: Mohajit Arneja, Swetharajan Gunasekar, Dharaneswari Hari Narayanan

Roles Formal analysis, Investigation, Resources, Visualization, Writing – original draft, Writing – review & editing

Affiliation Department of Clinical Research, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India
⨯
Dharaneswari Hari Narayanan ,

Contributed equally to this work with: Mohajit Arneja, Swetharajan Gunasekar, Dharaneswari Hari Narayanan

Roles Formal analysis, Investigation, Resources, Visualization, Writing – original draft, Writing – review & editing

Affiliation Department of Clinical Research, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India
⨯
Joshma Joseph,

Roles Project administration, Writing – review & editing

Affiliation Department of Cardiology, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India
⨯
Harilalith Kovvuri,

Roles Project administration, Writing – review & editing

Affiliation Department of Cardiology, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India
⨯
Sharath Shanmugam,

Roles Project administration, Writing – review & editing

Affiliation Department of Cardiology, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India
⨯
Pavitraa Saravana Kumar,

Roles Writing – review & editing

Affiliation Department of Clinical Research, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India
⨯
Asuwin Anandaram,

Roles Writing – review & editing

Affiliation Department of Internal Medicine, Lehigh Valley Health Network, Allentown, Pennsylvania, United States of America

https://orcid.org/0009-0006-9001-0342

⨯
Vinod Kumar Balakrishnan,

Roles Project administration, Supervision, Writing – review & editing

Affiliation Department of Cardiology, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India
⨯
Jayanty Venkata Balasubramaniyan,

Roles Project administration, Supervision, Writing – review & editing

Affiliation Department of Cardiology, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India
⨯
Sadhanandham Shanmugasundaram,

Roles Project administration, Supervision, Writing – review & editing

Affiliation Department of Cardiology, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India
⨯
Sankaran Ramesh,

Roles Project administration, Supervision, Writing – review & editing

Affiliation Department of Cardiology, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India
⨯
Nagendra Boopathy Senguttuvan

Roles Conceptualization, Investigation, Methodology, Resources, Supervision, Validation, Writing – review & editing

* E-mail: drsnboopathy@gmail.com

Affiliation Department of Cardiology, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India

https://orcid.org/0000-0003-4979-596X

⨯

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

Mohajit Arneja,
Swetharajan Gunasekar,
Dharaneswari Hari Narayanan,
Joshma Joseph,
Harilalith Kovvuri,
Sharath Shanmugam,
Pavitraa Saravana Kumar,
Asuwin Anandaram,
Vinod Kumar Balakrishnan,
Jayanty Venkata Balasubramaniyan

Published: December 1, 2025
https://doi.org/10.1371/journal.pone.0337841

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Catheters
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Angiography
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Reperfusion
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