| Autor: |
Huq AM; Dr Ahmed Mamunul Huq, Medical Officer, Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Dhaka, Bangladesh; E-mail: dr.amhuq@gmail.com., Uddin MJ, Momen A, Karmakar PK, Hashem S, Rahman MA, Alam I, Imam JT, Miah M, Rahman A, Ghosh TP |
| Jazyk: |
angličtina |
| Zdroj: |
Mymensingh medical journal : MMJ [Mymensingh Med J] 2022 Apr; Vol. 31 (2), pp. 400-405. |
| Abstrakt: |
NSTEMI patients, in comparison to STEMI patients, are more at risk of bleeding, access site complication and MACE after PCI during index hospitalization. Because they get, multiple adjuvant anti-thrombotic agents before PCI than do the STEMI patients undergoing primary PCI. Transradial access (TRA) is proven to decrease those adverse in-hospital outcomes compared to transfemoral access (TFA) in STEMI patients. But very few studies were conducted in this regard considering NSTEMI patients. We observed prospectively the adverse in-hospital outcomes of total 180 NSTEMI patients who had undergone PCI through TRA (Group I = 80) and TFA (Group II = 100) during index hospitalization between October 2017 to September 2018 in National Institute of Cardiovascular Disease (NICVD), Dhaka, Bangladesh. Samples were selected purposively. Patients were followed up 2 hours after PCI and thereafter every day until discharge. Demographic and risk factor variables were almost same in both groups. TRA, compared with TFA, yielded less major bleeding (0% versus 3%, p=0.12) which was statistically non-significant. Minor bleeding was significantly less in Group I (2.5% versus 13.0%, p=0.04). Overall bleeding was also significantly less in Group I (2.5% and 10.0%; p=0.002). Access site complication was non-significantly less in Group I (0% versus 1%, p=0.91). TRA caused non-significant reduction in MACE (2.5% versus 5%; p=0.38) but significant reduction of total adverse in-hospital outcome (5% versus 20%, p=0.006%). In this study TRA seems to have less adverse in-hospital outcome than TFA in NSTEMI patients undergoing PCI during index hospitalization. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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