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Transulnar sheathless percutaneous coronary intervention during bivalirudin infusion in high-risk elderly female with non-ST segment elevation myocardial infarction.
MedLine Citation:
PMID:  23185677     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Due to the ageing population and raised life expectancy, elderly patients are increasingly referred for percutaneous coronary intervention (PCI) during acute coronary syndromes (ACS). Bleeding complications are not infrequent during ACS, occurring in 2-5% of patients with prognostic and economic consequences. In particular, periprocedural bleeding and vascular complications are associated with worse clinical outcome, prolonged hospital stay and increased short- and long-term mortality, especially in elderly patients with acute coronary syndromes. We report the case of an 83-year old female referred to our hospital because of non-ST segment elevation myocardial infarction with high bleeding risk and unsuitable radial artery undergoing tran-sulnar sheathless PCI during bivalirudin infusion. The clinical, technical, pharmacological and prognostic implications are discussed.
Authors:
Francesco Summaria; Valerio Lucci; Marina Mustilli
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Publication Detail:
Type:  Journal Article     Date:  2012-06-14
Journal Detail:
Title:  Heart international     Volume:  7     ISSN:  2036-2579     ISO Abbreviation:  Heart Int     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-11-27     Completed Date:  2012-11-28     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101541778     Medline TA:  Heart Int     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  e10     Citation Subset:  -    
Affiliation:
Interventional Cardiology, Policlinico Casilino;
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