Post-the SAFARI STEMI study: Is there still a debate on radial vs. femoral access in STEMI?
| العنوان: | Post-the SAFARI STEMI study: Is there still a debate on radial vs. femoral access in STEMI? |
|---|---|
| المؤلفون: | Sunita Chugh, Sanjay Kumar Chugh, Yashasvi Chugh |
| المصدر: | Indian Heart Journal, Vol 72, Iss 5, Pp 466-468 (2020) Indian Heart Journal |
| بيانات النشر: | Elsevier, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Cardiac Catheterization, medicine.medical_specialty, RD1-811, medicine.medical_treatment, Decision Making, Primary angioplasty, 030204 cardiovascular system & hematology, STEMI, 03 medical and health sciences, Percutaneous Coronary Intervention, 0302 clinical medicine, Femoral access, St elevation myocardial infarction, Internal medicine, Opinion Paper, medicine, Humans, Bivalirudin, Diseases of the circulatory (Cardiovascular) system, Vascular closure device, 030212 general & internal medicine, Transradial access, business.industry, Percutaneous coronary intervention, Heparin, Femoral Artery, RC666-701, Radial Artery, Conventional PCI, Cardiology, ST Elevation Myocardial Infarction, Surgery, Cardiology and Cardiovascular Medicine, business, medicine.drug |
| الوصف: | Despite the seminal trials on radial versus femoral access for percutaneous coronary intervention (PCI) in ST elevation myocardial infarction (STEMI) showing reduced bleeding, major adverse cardiovascular events and mortality; these outcomes were attributed by some to low usage of bivalirudin and an unnecessarily higher dose of Heparin, combined with high usage of GP IIb/IIIa inhibitors, as well as to the use of larger bore catheters in the femoral groups. To prove the point, a study comparing TF with TR access was mooted( Lee et al., 2013) 3; with bivalirudin instead of heparin, preferably with use of potent oral anti-platelets instead of GP IIb/IIIa inhibitors; and femoral vascular closure devices, ostensibly, to assess outcomes based on ‘access-site alone’. With this intent, the SAFARI STEMI study was designed. In this article we discuss some of the major short-comings of this trial which raise significant questions on its results. |
| اللغة: | English |
| تدمد: | 0019-4832 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5cd6415ce07693bb79b70823ead8794cTest http://www.sciencedirect.com/science/article/pii/S0019483220301905Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....5cd6415ce07693bb79b70823ead8794c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 00194832 |
|---|