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Titolo:
STENTING IN ACUTE CORONARY SYNDROMES - A COMPARISON OF RADIAL VERSUS FEMORAL ACCESS SITES
Autore:
MANN T; CUBEDDU G; BOWEN J; SCHNEIDER JE; ARROWOOD M; NEWMAN WN; ZELLINGER MJ;
Indirizzi:
WAKE HEART ASSOCIATES,3020 NEW BERN AVE,SUITE 520 RALEIGH NC 27610 WAKE HEART CTR RALEIGH NC 00000
Titolo Testata:
Journal of the American College of Cardiology
fascicolo: 3, volume: 32, anno: 1998,
pagine: 572 - 576
SICI:
0735-1097(1998)32:3<572:SIACS->2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANGIOPLASTY; ARTERY; COMPLICATIONS; IMPLANTATION; ANGIOGRAPHY; EXPERIENCE; DEVICE; COST;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
32
Recensione:
Indirizzi per estratti:
Citazione:
T. Mann et al., "STENTING IN ACUTE CORONARY SYNDROMES - A COMPARISON OF RADIAL VERSUS FEMORAL ACCESS SITES", Journal of the American College of Cardiology, 32(3), 1998, pp. 572-576

Abstract

Objectives. The purpose of the present study was to compare the radial approach with the femoral approach for coronary stenting in patientswith acute coronary syndromes. Background. Aggressive anticoagulationin patients with acute coronary syndromes increases the risk of femoral vascular complications. The transradial approach has the potential to significantly reduce the incidence of access site bleeding complications in this group of patients. Methods. One hundred forty two patients with acute coronary syndromes undergoing coronary stenting were prospectively randomized to have their procedure performed from either the radial or femoral access site and the results compared.Results. Nineof 74 patients randomized to the radial group crossed over to the femoral group (6 negative Alien tests, 3 access failures). Patient demographics mere the same in both groups. Primary success was identical: 96% radial, 96% femoral, ns. There were no procedural myocardial infarctions or deaths, and no patient was referred for emergency bypass surgery. There were no access site bleeding complications in the radial group as opposed to 3 (4%) in the femoral group, p < 0.01. Postprocedure length of stay, days (1.4 +/- 0.2 radial vs. 2.3 +/- 0.4 femoral, p < 0.01) as well as total hospital length of stay (3.0 +/- 0.3 radial vs.4.5 +/- 0.5 femoral, p < 0.01) were significantly reduced in the radial group. Total hospital charge was also significantly lower in the radial group ($20,476 +/- 811 radial versus $23,389 +/- 1,180 femoral, p< 0.01). Conclusion. Coronary stenting from the radial approach is efficacious in patients with acute coronary syndromes. Access site bleeding complications are less, and early ambulation results in a shorter hospital length of stay. There was a 15% reduction in total hospital charge in the radial group. (J Am Coil Cardiol 1998;32:572-6) (C) 1998 by the American College of Cardiology.

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Documento generato il 03/07/20 alle ore 01:46:11