Ultrasound guidance versus anatomical landmark approach for femoral artery access in coronary angiography: A randomized controlled trial and a meta-analysis
| Autor: | Paul Terriault, Philippe Généreux, Donald A. Palisaitis, Guillaume Marquis-Gravel, Erick Schampaert, Maxime Tremblay-Gravel, Michel Doucet, Thierry Charron, Pierre Tessier, Jonathan Lévesque |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous medicine.medical_treatment Blood Loss Surgical Femoral artery 030204 cardiovascular system & hematology Coronary Angiography law.invention 03 medical and health sciences 0302 clinical medicine Percutaneous Coronary Intervention Randomized controlled trial law medicine.artery Catheterization Peripheral Clinical endpoint Medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Ultrasonography Interventional Aged business.industry Ultrasound Percutaneous coronary intervention Middle Aged Surgery Femoral Artery Treatment Outcome Meta-analysis Conventional PCI Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of interventional cardiology. 31(4) |
| ISSN: | 1540-8183 |
| Popis: | OBJECTIVES The objective was to assess the effect of ultrasound (US)-guidance compared to the anatomical landmark (AL) approach in patients requiring femoral artery (FA) access for coronary angiography/percutaneous coronary interventions (PCI). BACKGROUND US-guidance has been proposed as a strategy to optimize FA access, potentially leading to decreased vascular complications. METHODS Patients requiring FA access for coronary angiography/PCI were randomized to the US-guided or AL approaches. The primary endpoint was a composite of immediate procedural vascular outcomes, and access-site outcomes at day one. Results were subsequently pooled in a study-level meta-analysis of randomized trials comparing US-guided FA access to another strategy. RESULTS A total of 129 patients were randomized (64 US-guided group; 65 AL group). The primary endpoint occurred in 30 patients (47%) with US, and in 39 patients (62%) with AL (P = 0.09). Four additional studies met the inclusion criteria and were included in the meta-analysis (1553 patients). Following data pooling, bleeding events (OR = 0.41; 95%CI 0.20-0.83; P = 0.01), venipunctures (OR = 0.18; 95%CI: 0.11-0.29; P |
| Databáze: | OpenAIRE |
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