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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00006321naa a2200601 4500
001oai:lup.lub.lu.se:deeed8a5-91cf-495f-b1e4-35d7216d646f
003SwePub
008220411s2022 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:149593407
009oai:DiVA.org:liu-193354
009oai:gup.ub.gu.se/313208
0247 a https://lup.lub.lu.se/record/deeed8a5-91cf-495f-b1e4-35d7216d646f2 URI
0247 a https://doi.org/10.1016/j.ijcard.2022.01.0392 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1495934072 URI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1933542 URI
0247 a https://gup.ub.gu.se/publication/3132082 URI
040 a (SwePub)lud (SwePub)kid (SwePub)liud (SwePub)gu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
1001 a Desta, Liyewu Karolinska Institutet,Division of Cardiology, Department of Medicine, Karolinska Institute Huddinge and Karolinska University Hospital, Stockholm, Sweden4 aut
2451 0a Transradial versus trans-femoral access site in high-speed rotational atherectomy in Sweden
264 1b Elsevier BV,c 2022
300 a 7 s.
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
653 a Access site
653 a Calcified lesions
653 a Radial artery
653 a Rotablator
653 a Access site; Calcified lesions; Radial artery; Rotablato
7001 a Jurga, Julianeu Karolinska Institutet,Division of Cardiology, Department of Medicine, Karolinska Institute Solna and Karolinska University Hospital, Stockholm, Sweden4 aut
7001 a Völz, Sebastian,d 1980u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xvolse
7001 a Omerovic, Elmir,d 1968u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xomeel
7001 a Ulvenstam, Andersu Department of Internal Medicine and Cardiology, Östersund Hospital, Östersund, Sweden4 aut
7001 a Zwackman, Sammyu Linköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US4 aut0 (Swepub:liu)samzw44
7001 a Pagonis, Christosu Linköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US4 aut0 (Swepub:liu)chrpa43
7001 a Calle, Fredriku Örebro University,Örebro University, Faculty of Health, Department of Cardiology, Örebro, Sweden4 aut
7001 a Olivecrona, Göran K.u 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, Sweden4 aut0 (Swepub:lu)kard-gol
7001 a Persson, Jonasu Department of Clinical sciences, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden4 aut
7001 a Venetsanos, Dimitriosu Division of Cardiology, Department of Medicine, Karolinska Institute Solna and Karolinska University Hospital, Stockholm, Sweden4 aut
7102 a Karolinska Institutetb Division of Cardiology, Department of Medicine, Karolinska Institute Huddinge and Karolinska University Hospital, Stockholm, Sweden4 org
7730 t International Journal of Cardiologyd : Elsevier BVg 352, s. 45-51q 352<45-51x 0167-5273x 1874-1754
8564 u http://dx.doi.org/10.1016/j.ijcard.2022.01.039x freey FULLTEXT
8564 u http://www.internationaljournalofcardiology.com/article/S0167527322001309/pdf
8564 u https://liu.diva-portal.org/smash/get/diva2:1754145/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://lup.lub.lu.se/record/deeed8a5-91cf-495f-b1e4-35d7216d646f
8564 8u https://doi.org/10.1016/j.ijcard.2022.01.039
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:149593407
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-193354
8564 8u https://gup.ub.gu.se/publication/313208

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