PMID- 28991770
OWN - NLM
STAT- MEDLINE
DCOM- 20190701
LR  - 20191210
IS  - 1857-9345 (Print)
IS  - 1857-9345 (Linking)
VI  - 38
IP  - 2
DP  - 2017 Sep 1
TI  - Transition Towards Transradial Approach Improves Outcomes of Acute Myocardial 
      Infarction PCI.
PG  - 69-78
LID - /j/prilozi.2017.38.issue-2/prilozi-2017-0024/prilozi-2017-0024.xml [pii]
LID - 10.1515/prilozi-2017-0024 [doi]
AB  - INTRODUCTION AND AIM: Transradial (TRA) instead of transfemoral (TFA) approach 
      strategy has been presented in research literature as superior access strategy 
      especially for acute ST elevation myocardial infarction (STEMI) primary 
      percutaneous coronary intervention (PCI). There is a paucity of registry-based 
      data of outcomes from default TRA strategy compared to TFA. MATERIALS AND 
      METHODS: All-comers STEMI PCI institutional Registry identified 1808 consecutive 
      patients in time-frame of 40 months from 2007 to 2010, without making any 
      exclusions. Moreover, we applied Propensity Score Matching (PSM) to replace 
      randomization, address the potential confounding and selection bias. PSM derived 
      565 congruent pairs of patients from the groups. RESULTS: After 30 days the 
      primary composite endpoint of major adverse cardiovascular events (MACE) was in 
      favor of TRA 6.5% vs. 12.4% in TFA group, simultaneously secondary endpoints of 
      death in TRA with rate of 4.8% and with rate of 10.1% in TFA. Moreover, the rate 
      of major access related bleeding was 1.1% in TRA vs. 8.5% in TFA, in contrast the 
      major non-access related bleeding was 1.8% and 2.4% respectively showed no 
      significant difference. One year Kaplan Meier survival plots were in favor of 
      TRA. CONCLUSIONS: Default transradial access strategy is associated with improved 
      STEMI PCI outcomes.
FAU - Kalpak, Oliver
AU  - Kalpak O
AD  - .
FAU - Donev, Donco
AU  - Donev D
AD  - .
FAU - Pejkov, Hristo
AU  - Pejkov H
AD  - .
FAU - Antov, Slobodan
AU  - Antov S
AD  - .
FAU - Kalpak, Gjorgji
AU  - Kalpak G
AD  - .
FAU - Kedev, Sasko
AU  - Kedev S
AD  - .
LA  - eng
PT  - Journal Article
PL  - North Macedonia
TA  - Pril (Makedon Akad Nauk Umet Odd Med Nauki)
JT  - Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski 
      nauki)
JID - 101677081
SB  - IM
MH  - Aged
MH  - Catheterization, Peripheral/adverse effects/mortality/*trends
MH  - Clinical Decision-Making
MH  - Female
MH  - *Femoral Artery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Percutaneous Coronary Intervention/adverse effects/mortality/*trends
MH  - Practice Patterns, Physicians'/*trends
MH  - Punctures
MH  - *Radial Artery
MH  - Registries
MH  - Republic of North Macedonia
MH  - Risk Assessment
MH  - Risk Factors
MH  - ST Elevation Myocardial Infarction/diagnosis/mortality/*surgery
MH  - Time Factors
MH  - Treatment Outcome
OTO - NOTNLM
OT  - STEMI
OT  - TFA
OT  - TRA
OT  - acute myocardial infarction PCI
OT  - outcomes
EDAT- 2017/10/11 06:00
MHDA- 2019/07/02 06:00
CRDT- 2017/10/10 06:00
PHST- 2017/10/10 06:00 [entrez]
PHST- 2017/10/11 06:00 [pubmed]
PHST- 2019/07/02 06:00 [medline]
AID - /j/prilozi.2017.38.issue-2/prilozi-2017-0024/prilozi-2017-0024.xml [pii]
AID - 10.1515/prilozi-2017-0024 [doi]
PST - ppublish
SO  - Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2017 Sep 1;38(2):69-78. doi: 
      10.1515/prilozi-2017-0024.