WFRF:(Koul Sasha)
Sökning: WFRF:(Koul Sasha) > (2020-2024) > Radial artery acces...
Radial artery access is associated with lower mortality in patients undergoing primary PCI : a report from the SWEDEHEART registry
-
- Dworeck, Christian (författare)
- Department of Cardiology, Sahlgrenska University Hospital, Sweden,Sahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden
-
- Redfors, Björn (författare)
- Department of Cardiology, Sahlgrenska University Hospital, Sweden,Sahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden
-
- Völz, Sebastian (författare)
- Department of Cardiology, Sahlgrenska University Hospital, Sweden,Sahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden
- visa fler...
- visa färre...
- (creator_code:org_t)
- 2020-06-01
- 2020
- Engelska.
- Ingår i: European Heart Journal. - : Sage Publications. - 2048-8726 .- 2048-8734. ; 9:4, s. 323-332
- Tidskriftsartikel (refereegranskat)
Abstract
Ämnesord
Stäng
- Objectives: The purpose of this observational study was to evaluate the effects of radial artery access versus femoral artery access on the risk of 30-day mortality, inhospital bleeding and cardiogenic shock in patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention.Methods: We used data from the SWEDEHEART registry and included all patients who were treated with primary percutaneous coronary intervention in Sweden between 2005 and 2016. We compared patients who had percutaneous coronary intervention by radial access versus femoral access with regard to the primary endpoint of all-cause death within 30 days, using a multilevel propensity score adjusted logistic regression which included hospital as a random effect.Results: During the study period, 44,804 patients underwent primary percutaneous coronary intervention of whom 24,299 (54.2%) had radial access and 20,505 (45.8%) femoral access. There were 2487 (5.5%) deaths within 30 days, of which 920 (3.8%) occurred in the radial access and 1567 (7.6%) in the femoral access group. After propensity score adjustment, radial access was associated with a lower risk of death (adjusted odds ratio (OR) 0.70, 95% confidence interval (CI) 0.55-0.88,P = 0.025). We found no interaction between access site and age, gender and cardiogenic shock regarding 30-day mortality. Radial access was also associated with a lower adjusted risk of bleeding (adjusted OR 0.45, 95% CI 0.25-0.79,P = 0.006) and cardiogenic shock (adjusted OR 0.41, 95% CI 0.24-0.73,P = 0.002).Conclusions: In patients with ST-elevation myocardial infarction, primary percutaneous coronary intervention by radial access rather than femoral access was associated with an adjusted lower risk of death, bleeding and cardiogenic shock. Our findings are consistent with, and add external validity to, recent randomised trials.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- ST-elevation myocardial infarction
- arterial access site
- primary PCI
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta mer i SwePub
- Av författaren/redakt...
- Dworeck, Christi ...
- Redfors, Björn
- Völz, Sebastian
- Haraldsson, Inge ...
- Angerås, Oskar
- Råmunddal, Truls
- visa fler...
- Ioanes, Dan
- Myredal, Anna
- Odenstedt, Jacob
- Hirlekar, Geir
- Koul, Sasha
- Fröbert, Ole, 19 ...
- Linder, Rickard
- Venetsanos, Dimi ...
- Hofmann, Robin
- Ulvenstam, Ander ...
- Petursson, Petur
- Sarno, Giovanna
- James, Stefan, 1 ...
- Erlinge, David
- Omerovic, Elmir
- visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
- MEDICIN OCH HÄLS ...
- och Klinisk medicin
- och Kardiologi
- Artiklar i publikationen
- European Heart J ...
- Av lärosätet
- Örebro universitet
- Uppsala universitet
- Karolinska Institutet
Sök utanför SwePub
- Sök vidare i:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - Nationella bibliotekssystem
- LIBRIS.kb.se
