Comparison of transradial and transfemoral access in patients undergoing percutaneous coronary intervention for complex coronary lesions
| Autor: | Michael J. Lipinski, Nelson L. Bernardo, Lowell F. Satler, Robert Lager, Itsik Ben-Dor, Smita I. Negi, Edward Koifman, Michael A. Gaglia, William O. Suddath, Sarkis Kiramijyan, Rebecca Torguson, Nevin C. Baker, Robert Gallino, Ron Waksman, Jiaxiang Gai, Augusto D. Pichard, Ricardo O. Escarcega |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Percutaneous coronary intervention General Medicine Heparin 030204 cardiovascular system & hematology medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Baseline characteristics Internal medicine Propensity score matching Conventional PCI medicine Cardiology Radiology Nuclear Medicine and imaging In patient 030212 general & internal medicine Myocardial infarction Cardiology and Cardiovascular Medicine business medicine.drug Procedure time |
| Zdroj: | Catheterization and Cardiovascular Interventions. 89:640-646 |
| ISSN: | 1522-1946 |
| DOI: | 10.1002/ccd.26669 |
| Popis: | Objective Comparison of transradial versus transfemoral access for complex percutaneous coronary intervention (PCI) with regard to both complications and long-term outcomes. Background Radial access has been shown to confer superior results in patients undergoing PCI, especially in patients with acute coronary syndromes. However, radial access has limitations of sheath and device size, which may increase procedure time and result in inferior outcomes. Methods Patients undergoing PCI for complex lesions, defined as type C according the ACC/AHA classification system, were included in this study. Propensity matching was performed to adjust for differences in baseline characteristics. Transradial patients were then compared to transfemoral patients in regard to procedural, in-hospital, and 6-month outcomes. Results Among 2142 patients with 2591 lesions treated, 1876 had femoral access and 267 had radial access. Radial access patients were more likely to be male (75% vs. 66%, P = 0.003) and less likely to present with acute myocardial infarction (27% vs. 42%, P |
| Databáze: | OpenAIRE |
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