Femoral versus Radial Access in Primary Angioplasty. Analysis of the ACCEPT Registry

Detalhes bibliográficos
Autor(a) principal: Andrade,Pedro Beraldo de
Data de Publicação: 2014
Outros Autores: Andrade,Mônica Vieira Athanazio de, Barbosa,Robson Alves, Labrunie,André, Hernandes,Mauro Esteves, Marino,Roberto Luiz, Precoma,Dalton Bertolim, Sá,Francisco Carleial Feijó de, Berwanger,Otávio, Mattos,Luiz Alberto Piva e
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos Brasileiros de Cardiologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2014000600006
Resumo: Background:The radial access provides a lower risk of bleeding and vascular complications related to the puncture site in comparison to the femoral access. Recent studies have suggested a reduction in mortality associated with the radial access in patients with acute myocardial infarction undergoing percutaneous coronary intervention.Objective:To compare the occurrence of adverse cardiovascular ischemic and hemorrhagic events in patients undergoing primary angioplasty according to the type of arterial access route.Methods:From August 2010 to December 2011, 588 patients undergoing primary percutaneous coronary intervention during acute ST-segment elevation myocardial infarction were assessed; they were recruited from 47 centers participating in the ACCEPT registry. Patients were grouped and compared according to the arterial access used for the procedure.Results:The mean age was 61.8 years; 75% were males and 24% had diabetes mellitus. There was no difference between groups as regards the procedure success rate, as well as regards the occurrence of death, reinfarction, or stroke at six months of follow-up. Severe bleeding was reported in 1.1% of the sample analyzed, with no statistical difference related to the access used.Conclusions:The femoral and radial accesses are equally safe and effective for the performance of primary percutaneous coronary intervention. The low rate of cardiovascular events and of hemorrhagic complications reflects the quality of the participating centers and the operators expertise with the use of both techniques.
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spelling Femoral versus Radial Access in Primary Angioplasty. Analysis of the ACCEPT RegistryMyocardial infarctionPercutaneous coronary interventionsFemoral artery / surgeryRadial artery / surgeryBackground:The radial access provides a lower risk of bleeding and vascular complications related to the puncture site in comparison to the femoral access. Recent studies have suggested a reduction in mortality associated with the radial access in patients with acute myocardial infarction undergoing percutaneous coronary intervention.Objective:To compare the occurrence of adverse cardiovascular ischemic and hemorrhagic events in patients undergoing primary angioplasty according to the type of arterial access route.Methods:From August 2010 to December 2011, 588 patients undergoing primary percutaneous coronary intervention during acute ST-segment elevation myocardial infarction were assessed; they were recruited from 47 centers participating in the ACCEPT registry. Patients were grouped and compared according to the arterial access used for the procedure.Results:The mean age was 61.8 years; 75% were males and 24% had diabetes mellitus. There was no difference between groups as regards the procedure success rate, as well as regards the occurrence of death, reinfarction, or stroke at six months of follow-up. Severe bleeding was reported in 1.1% of the sample analyzed, with no statistical difference related to the access used.Conclusions:The femoral and radial accesses are equally safe and effective for the performance of primary percutaneous coronary intervention. The low rate of cardiovascular events and of hemorrhagic complications reflects the quality of the participating centers and the operators expertise with the use of both techniques.Sociedade Brasileira de Cardiologia - SBC2014-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2014000600006Arquivos Brasileiros de Cardiologia v.102 n.6 2014reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.5935/abc.20140063info:eu-repo/semantics/openAccessAndrade,Pedro Beraldo deAndrade,Mônica Vieira Athanazio deBarbosa,Robson AlvesLabrunie,AndréHernandes,Mauro EstevesMarino,Roberto LuizPrecoma,Dalton BertolimSá,Francisco Carleial Feijó deBerwanger,OtávioMattos,Luiz Alberto Piva eeng2015-11-03T00:00:00Zoai:scielo:S0066-782X2014000600006Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2015-11-03T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false
dc.title.none.fl_str_mv Femoral versus Radial Access in Primary Angioplasty. Analysis of the ACCEPT Registry
title Femoral versus Radial Access in Primary Angioplasty. Analysis of the ACCEPT Registry
spellingShingle Femoral versus Radial Access in Primary Angioplasty. Analysis of the ACCEPT Registry
Andrade,Pedro Beraldo de
Myocardial infarction
Percutaneous coronary interventions
Femoral artery / surgery
Radial artery / surgery
title_short Femoral versus Radial Access in Primary Angioplasty. Analysis of the ACCEPT Registry
title_full Femoral versus Radial Access in Primary Angioplasty. Analysis of the ACCEPT Registry
title_fullStr Femoral versus Radial Access in Primary Angioplasty. Analysis of the ACCEPT Registry
title_full_unstemmed Femoral versus Radial Access in Primary Angioplasty. Analysis of the ACCEPT Registry
title_sort Femoral versus Radial Access in Primary Angioplasty. Analysis of the ACCEPT Registry
author Andrade,Pedro Beraldo de
author_facet Andrade,Pedro Beraldo de
Andrade,Mônica Vieira Athanazio de
Barbosa,Robson Alves
Labrunie,André
Hernandes,Mauro Esteves
Marino,Roberto Luiz
Precoma,Dalton Bertolim
Sá,Francisco Carleial Feijó de
Berwanger,Otávio
Mattos,Luiz Alberto Piva e
author_role author
author2 Andrade,Mônica Vieira Athanazio de
Barbosa,Robson Alves
Labrunie,André
Hernandes,Mauro Esteves
Marino,Roberto Luiz
Precoma,Dalton Bertolim
Sá,Francisco Carleial Feijó de
Berwanger,Otávio
Mattos,Luiz Alberto Piva e
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Andrade,Pedro Beraldo de
Andrade,Mônica Vieira Athanazio de
Barbosa,Robson Alves
Labrunie,André
Hernandes,Mauro Esteves
Marino,Roberto Luiz
Precoma,Dalton Bertolim
Sá,Francisco Carleial Feijó de
Berwanger,Otávio
Mattos,Luiz Alberto Piva e
dc.subject.por.fl_str_mv Myocardial infarction
Percutaneous coronary interventions
Femoral artery / surgery
Radial artery / surgery
topic Myocardial infarction
Percutaneous coronary interventions
Femoral artery / surgery
Radial artery / surgery
description Background:The radial access provides a lower risk of bleeding and vascular complications related to the puncture site in comparison to the femoral access. Recent studies have suggested a reduction in mortality associated with the radial access in patients with acute myocardial infarction undergoing percutaneous coronary intervention.Objective:To compare the occurrence of adverse cardiovascular ischemic and hemorrhagic events in patients undergoing primary angioplasty according to the type of arterial access route.Methods:From August 2010 to December 2011, 588 patients undergoing primary percutaneous coronary intervention during acute ST-segment elevation myocardial infarction were assessed; they were recruited from 47 centers participating in the ACCEPT registry. Patients were grouped and compared according to the arterial access used for the procedure.Results:The mean age was 61.8 years; 75% were males and 24% had diabetes mellitus. There was no difference between groups as regards the procedure success rate, as well as regards the occurrence of death, reinfarction, or stroke at six months of follow-up. Severe bleeding was reported in 1.1% of the sample analyzed, with no statistical difference related to the access used.Conclusions:The femoral and radial accesses are equally safe and effective for the performance of primary percutaneous coronary intervention. The low rate of cardiovascular events and of hemorrhagic complications reflects the quality of the participating centers and the operators expertise with the use of both techniques.
publishDate 2014
dc.date.none.fl_str_mv 2014-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2014000600006
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2014000600006
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/abc.20140063
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia - SBC
publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia - SBC
dc.source.none.fl_str_mv Arquivos Brasileiros de Cardiologia v.102 n.6 2014
reponame:Arquivos Brasileiros de Cardiologia (Online)
instname:Sociedade Brasileira de Cardiologia (SBC)
instacron:SBC
instname_str Sociedade Brasileira de Cardiologia (SBC)
instacron_str SBC
institution SBC
reponame_str Arquivos Brasileiros de Cardiologia (Online)
collection Arquivos Brasileiros de Cardiologia (Online)
repository.name.fl_str_mv Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)
repository.mail.fl_str_mv ||arquivos@cardiol.br
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