Document Detail


Bleeding Complications After PCI and the Role of Transradial Access.
MedLine Citation:
PMID:  24728547     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Bleeding events are the most common complications following percutaneous coronary intervention (PCI) and are associated with increases in short- and long-term mortality, nonfatal myocardial infarction, stroke, hospital length of stay, and hospital cost. Over time, there has been a decrease in periprocedural bleeding, primarily due to improvements in antithrombotic therapy; however, transradial (TR) catheterization has been shown to be an important strategy to minimize access site bleeding and potentially improve outcomes among patients with ST-segment elevation myocardial infarction. The rate of TR catheterization has been increasing significantly over the past few years and now accounts for an increasing proportion of procedures performed in the United States. Results from the recently published RIVAL Trial have shown comparable efficacy between transradial and transfemoral (TF) approaches with significant reduction in vascular access complications in the TR group. TR access in the STEMI population was prospectively assessed in the RIFLE-STEACS Trial and demonstrated significant reduction in the primary outcome of composite death/MI/stroke/target vessel revascularization/non-CABG bleeding. More recent studies have also demonstrated cost savings with TR access, related primarily to decreased hospital length of stay. While previous studies have shown increased operator radiation exposure compared to a TF approach, the most recent data suggest no significant difference in radiation at higher volume centers.
Authors:
Amit N Vora; Sunil V Rao
Related Documents :
12716587 - Clinical outcomes of coronary revascularization without cardiopulmonary bypass.
18845347 - Correlates of coronary angiography in patients with stable angina and geographical diff...
19879467 - Digitoxin prolongs survival of female rats with heart failure due to large myocardial i...
17303587 - Renal insufficiency and long-term mortality and incidence of myocardial infarction in p...
6608367 - Assessment of aortocoronary bypass grafting using exercise st segment/heart rate relation.
2579537 - Effects of loading conditions and contractile state (methoxamine and dobutamine) on lef...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current treatment options in cardiovascular medicine     Volume:  16     ISSN:  1092-8464     ISO Abbreviation:  Curr Treat Options Cardiovasc Med     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-04-14     Completed Date:  2014-04-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815942     Medline TA:  Curr Treat Options Cardiovasc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  305     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  From positive emotionality to internalizing problems: the role of executive functioning in preschool...
Next Document:  Non-invasive assessment of carotid PWV via accelerometric sensors: validation of a new device and co...