Transradial vs. Transfemoral Percutaneous Coronary Intervention in Patients With or Without High Bleeding Risk Criteria
| العنوان: | Transradial vs. Transfemoral Percutaneous Coronary Intervention in Patients With or Without High Bleeding Risk Criteria |
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| المؤلفون: | Hiroki Watanabe, Kenji Ando, Takeshi Morimoto, Ko Yamamoto, Yutaka Furukawa, Takao Kato, Hiroki Shiomi, Naritatsu Saito, Takeshi Kimura, Kazushige Kadota, Cabg Registry Cohort Investigators, Masahiro Natsuaki, Kyohei Yamaji, Hirotoshi Watanabe, CREDO-Kyoto Pci |
| المصدر: | Circulation Journal. 84:723-732 |
| بيانات النشر: | Japanese Circulation Society, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Time Factors, Databases, Factual, medicine.medical_treatment, Hemorrhage, Coronary Artery Disease, Punctures, 030204 cardiovascular system & hematology, Lower risk, Risk Assessment, 03 medical and health sciences, Percutaneous Coronary Intervention, 0302 clinical medicine, Japan, Risk Factors, Internal medicine, Catheterization, Peripheral, medicine, Humans, Registries, 030212 general & internal medicine, Myocardial infarction, Dialysis, Aged, Retrospective Studies, Aged, 80 and over, business.industry, Incidence, Incidence (epidemiology), Hazard ratio, Percutaneous coronary intervention, General Medicine, Middle Aged, medicine.disease, Confidence interval, Femoral Artery, Treatment Outcome, Radial Artery, Conventional PCI, Cardiology, Female, Cardiology and Cardiovascular Medicine, business |
| الوصف: | BACKGROUND The transradial approach is reportedly associated with reduced bleeding complications and mortality after percutaneous coronary intervention (PCI). It is unknown whether the clinical benefits of transradial vs. transfemoral PCI differ between high bleeding risk (HBR) and non-HBR patients.Methods and Results:After excluding patients with acute myocardial infarction, dialysis, and a transbrachial approach from the 13,087 patients undergoing first PCI in the CREDO-Kyoto Registry Cohort-2, 6,828 patients were eligible for this study. Patients were divided into 2 groups according to bleeding risk based on Academic Research Consortium HBR criteria, and then divided into a further 2 groups according to access site, radial or femoral: HBR-radial, n=1,054 (38.3%); HBR-femoral, n=1,699 (61.7%); non-HBR-radial, n=1,682 (41.3%); and non-HBR-femoral, n=2,393 (58.7%). In the HBR group, the 30-day incidence and adjusted risk for major bleeding (1.9% vs. 4.7% [P |
| تدمد: | 1347-4820 1346-9843 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d3502cb2b5f3421557846e8ed3745caeTest https://doi.org/10.1253/circj.cj-19-1117Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....d3502cb2b5f3421557846e8ed3745cae |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13474820 13469843 |
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