| Radial versus femoral approach for high-speed rotational atherectomy. | |
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MedLine Citation:
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PMID: 19434605 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The aim of this study was to compare in-hospital outcomes for patients undergoing high-speed rotational atherectomy (HSRA) via the radial and femoral route. BACKGROUND: Transradial access is often avoided for HSRA because of concern over limitations on guide catheter size. No studies have compared a radial and femoral approach for HSRA. METHODS: This is a retrospective comparison of in-hospital outcomes for 151 consecutive patients (75 radial, 76 femoral) undergoing HSRA. RESULTS: Significantly smaller diameter guide catheters (6.3 +/- 0.5 Fr vs. 7.1 +/- 0.8 Fr, P < 0.001) and burrs (1.6 +/- 0.2 mm vs. 1.7 +/- 0.2 mm, P = 0.02) were used in the radial compared with the femoral group. Procedural success (93.3% vs. 94.7%, P = 0.75), procedure time (108.7 +/- 30.5 min vs. 112.8 +/- 35.0 min, P = 0.45), and patient radiation exposure (12125 +/- 8373 vs. 12118 +/- 7831 cGy cm(2), P = 1.00) were similar in radial and femoral groups. There was a trend in favor of radial artery access for major access site bleeding complications (0.0% vs. 5.3%, P = 0.12). The incidence of in-hospital death or myocardial infarction was low in both groups. CONCLUSION: This study shows that radial artery access is a feasible, safe, and effective approach for HSRA. Overall complication rates are low and radial access may be associated with a lower risk of major bleeding complications compared with a femoral approach. |
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Authors:
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Jonathan Watt; Keith G Oldroyd |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 74 ISSN: 1522-726X ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-10-05 Completed Date: 2009-12-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
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Languages: eng Pagination: 550-4 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Western Infirmary, Glasgow G11 6NT, Scotland. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Atherectomy, Coronary / adverse effects, instrumentation, methods*, mortality Coronary Angiography Coronary Artery Disease / mortality, radiography, therapy* Equipment Design Female Femoral Artery* Heart Catheterization / adverse effects, instrumentation, methods*, mortality Hemorrhage / etiology Hospital Mortality Humans Male Middle Aged Myocardial Infarction / etiology Radial Artery* Retrospective Studies Risk Assessment Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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