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Transradial versus ...
Transradial versus trans-femoral access site in high-speed rotational atherectomy in Sweden
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- Desta, Liyew (författare)
- Karolinska Institutet,Division of Cardiology, Department of Medicine, Karolinska Institute Huddinge and Karolinska University Hospital, Stockholm, Sweden
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- Jurga, Juliane (författare)
- Karolinska Institutet,Division of Cardiology, Department of Medicine, Karolinska Institute Solna and Karolinska University Hospital, Stockholm, Sweden
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- Völz, Sebastian, 1980 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Omerovic, Elmir, 1968 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Ulvenstam, Anders (författare)
- Department of Internal Medicine and Cardiology, Östersund Hospital, Östersund, Sweden
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- Zwackman, Sammy (författare)
- Linköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Pagonis, Christos (författare)
- Linköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Calle, Fredrik (författare)
- Örebro University,Örebro University, Faculty of Health, Department of Cardiology, Örebro, Sweden
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- Olivecrona, Göran K. (författare)
- Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Department of Cardiology, Lund University and HSkåne University Hospital, Lund, Sweden
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- Persson, Jonas (författare)
- Department of Clinical sciences, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden
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- Venetsanos, Dimitrios (författare)
- Division of Cardiology, Department of Medicine, Karolinska Institute Solna and Karolinska University Hospital, Stockholm, Sweden
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(creator_code:org_t)
- Elsevier BV, 2022
- 2022
- Engelska 7 s.
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Ingår i: International Journal of Cardiology. - : Elsevier BV. - 0167-5273 .- 1874-1754. ; 352, s. 45-51
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Abstract
Ämnesord
Stäng
- Background: Radial artery is the preferred access site in contemporary percutaneous coronary intervention (PCI). However, limited data exist regarding utilization pattern, safety, and long-term efficacy of transradial artery access (TRA) PCI in heavily calcified lesions using high-speed rotational atherectomy (HSRA). Methods: All patients who underwent HSRA-PCI in Sweden between 2005 and 2016 were included. Outcomes were major adverse cardiac events (MACE, including death, myocardial infarction (MI) or target vessel revascularisation (TVR)), in-hospital bleeding and restenosis. Inverse probability of treatment weighting was used to adjust for the non-randomized access site selection. Results: We included 1479 patients of whom 649 had TRA and 782 transfemoral artery access (TFA) HSRA-PCI. The rate of TRA increased significantly by 18% per year but remained lower in HSRA-PCI (60%) than in the overall PCI population (85%) in 2016. TRA was associated with comparable angiographic success but significantly lower risk for major (adjusted OR 0.16; 95% CI 0.05–0.47) or any in-hospital bleeding (adjusted OR 0.32; 95% CI 0.13–0.78). At one year, the adjusted risk for MACE (HR 0.87; 95% CI 0.67–1.13) and its individual components did not differ between TRA and TFA patients. The risk for restenosis did not significantly differ between TRA and TFA HSRA-PCI treated lesions (adjusted HR 0.92; 95% CI 0.46–1.81). Conclusion: HSRA-PCI by TRA was associated with significantly lower risk for in-hospital bleeding and equivalent long-term efficacy when compared with TFA. Our data support the feasibility and superior safety profile of TRA in HSRA-PCI.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Access site
- Calcified lesions
- Radial artery
- Rotablator
- Access site; Calcified lesions; Radial artery; Rotablato
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Desta, Liyew
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Jurga, Juliane
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Völz, Sebastian, ...
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Omerovic, Elmir, ...
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Ulvenstam, Ander ...
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Zwackman, Sammy
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Pagonis, Christo ...
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Calle, Fredrik
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Olivecrona, Göra ...
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Persson, Jonas
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Venetsanos, Dimi ...
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