Search: onr:"swepub:oai:lup.lub.lu.se:deeed8a5-91cf-495f-b1e4-35d7216d646f" >
Transradial versus ...
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Desta, LiyewKarolinska Institutet,Division of Cardiology, Department of Medicine, Karolinska Institute Huddinge and Karolinska University Hospital, Stockholm, Sweden
(author)
Transradial versus trans-femoral access site in high-speed rotational atherectomy in Sweden
- Article/chapterEnglish2022
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LIBRIS-ID:oai:lup.lub.lu.se:deeed8a5-91cf-495f-b1e4-35d7216d646f
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https://lup.lub.lu.se/record/deeed8a5-91cf-495f-b1e4-35d7216d646fURI
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https://doi.org/10.1016/j.ijcard.2022.01.039DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:149593407URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-193354URI
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https://gup.ub.gu.se/publication/313208URI
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Language:English
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Summary in:English
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Subject category:art swepub-publicationtype
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Subject category:ref swepub-contenttype
Notes
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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.
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Jurga, JulianeKarolinska Institutet,Division of Cardiology, Department of Medicine, Karolinska Institute Solna and Karolinska University Hospital, Stockholm, Sweden
(author)
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Völz, Sebastian,1980Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine(Swepub:gu)xvolse
(author)
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Omerovic, Elmir,1968Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine(Swepub:gu)xomeel
(author)
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Ulvenstam, AndersDepartment of Internal Medicine and Cardiology, Östersund Hospital, Östersund, Sweden
(author)
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Zwackman, SammyLinköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)samzw44
(author)
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Pagonis, ChristosLinköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)chrpa43
(author)
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Calle, FredrikÖrebro University,Örebro University, Faculty of Health, Department of Cardiology, Örebro, Sweden
(author)
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Olivecrona, Göran K.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(Swepub:lu)kard-gol
(author)
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Persson, JonasDepartment of Clinical sciences, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden
(author)
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Venetsanos, DimitriosDivision of Cardiology, Department of Medicine, Karolinska Institute Solna and Karolinska University Hospital, Stockholm, Sweden
(author)
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Karolinska InstitutetDivision of Cardiology, Department of Medicine, Karolinska Institute Huddinge and Karolinska University Hospital, Stockholm, Sweden
(creator_code:org_t)
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In:International Journal of Cardiology: Elsevier BV352, s. 45-510167-52731874-1754
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Desta, Liyew
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