SwePub
Sök i LIBRIS databas

  Utökad sökning

WFRF:(Koul Sasha)
 

Sökning: WFRF:(Koul Sasha) > (2020-2024) > Radial artery acces...

  • Dworeck, ChristianDepartment of Cardiology, Sahlgrenska University Hospital, Sweden,Sahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden (författare)

Radial artery access is associated with lower mortality in patients undergoing primary PCI : a report from the SWEDEHEART registry

  • Artikel/kapitelEngelska2020

Förlag, utgivningsår, omfång ...

  • 2020-06-01
  • Sage Publications,2020
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:oru-86394
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-86394URI
  • https://doi.org/10.1177/2048872620908032DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-427762URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:144868206URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Funding Agency:ALF Göteborg
  • 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 och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Redfors, BjörnDepartment of Cardiology, Sahlgrenska University Hospital, Sweden,Sahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden (författare)
  • Völz, SebastianDepartment of Cardiology, Sahlgrenska University Hospital, Sweden,Sahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden (författare)
  • Haraldsson, IngerDepartment of Cardiology, Sahlgrenska University Hospital, Sweden,Sahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden (författare)
  • Angerås, OskarDepartment of Cardiology, Sahlgrenska University Hospital, Sweden,Sahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden (författare)
  • Råmunddal, TrulsDepartment of Cardiology, Sahlgrenska University Hospital, Sweden,Sahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden (författare)
  • Ioanes, DanDepartment of Cardiology, Sahlgrenska University Hospital, Sweden,Sahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden (författare)
  • Myredal, AnnaDepartment of Cardiology, Sahlgrenska University Hospital, Sweden,Sahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden (författare)
  • Odenstedt, JacobDepartment of Cardiology, Sahlgrenska University Hospital, Sweden,Sahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden (författare)
  • Hirlekar, GeirDepartment of Cardiology, Sahlgrenska University Hospital, Sweden,Sahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden (författare)
  • Koul, SashaDepartment of Cardiology, Clinical Sciences, Lund University, Sweden,Lund Univ, Dept Cardiol, Clin Sci, Lund, Sweden (författare)
  • Fröbert, Ole,1964-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiology,Örebro Univ, Dept Cardiol, Örebro, Sweden(Swepub:oru)oft (författare)
  • Linder, RickardKarolinska Institutet (författare)
  • Venetsanos, DimitriosKarolinska Institutet (författare)
  • Hofmann, RobinKarolinska Institutet (författare)
  • Ulvenstam, AndersDepartment of Cardiology, Östersund Hospital, Sweden,Östersund Hosp, Dept Cardiol, Östersund, Sweden (författare)
  • Petursson, PeturDepartment of Cardiology, Sahlgrenska University Hospital, Sweden,Sahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden (författare)
  • Sarno, GiovannaUppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi(Swepub:uu)giosa853 (författare)
  • James, Stefan,1964-Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR)(Swepub:uu)stjam367 (författare)
  • Erlinge, DavidDepartment of Cardiology, Clinical Sciences, Lund University, Sweden,Lund Univ, Dept Cardiol, Clin Sci, Lund, Sweden (författare)
  • Omerovic, ElmirDepartment of Cardiology, Sahlgrenska University Hospital, Sweden,Sahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden (författare)
  • Department of Cardiology, Sahlgrenska University Hospital, SwedenSahlgrens Univ Hosp, Dept Cardiol, Bruna Straket 16, S-41345 Gothenburg, Sweden (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:European Heart Journal: Sage Publications9:4, s. 323-3322048-87262048-8734

Internetlänk

Hitta via bibliotek

Till lärosätets databas

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.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy