Transradial percutaneous coronary intervention in high-risk patients
Percutaneous coronary intervention (PCI) is the commonest form of revascularization in patients with coronary heart disease. The benefit of early invasive treatment with PCI in patients presenting with acute coronary syndromes are well accepted. Traditionally, PCI has been performed via the femoral...
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| Veröffentlicht in: | Interventional cardiology 2015-07, Vol.7 (3), p.305-315 |
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| creator | Khoo, Chee W Holroyd, Eric W Butler, Rob Nolan, James Mamas, Mamas A |
| description | Percutaneous coronary intervention (PCI) is the commonest form of revascularization in patients with coronary heart disease. The benefit of early invasive treatment with PCI in patients presenting with acute coronary syndromes are well accepted. Traditionally, PCI has been performed via the femoral access with significant risks for the development of access site-related bleeding complications. Increased international adoption of the transradial access site for PCI procedures has been shown to reduce such major access site-related bleeding complications and mortality, especially in the high-risk patient groups. We provide a brief overview of the historical perspective on transradial approach and the evidence supporting its use. We then discuss the current data supporting transradial access in high-risk populations and factors that have limited its adoption. |
| doi_str_mv | 10.2217/ica.15.13 |
| format | Article |
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The benefit of early invasive treatment with PCI in patients presenting with acute coronary syndromes are well accepted. Traditionally, PCI has been performed via the femoral access with significant risks for the development of access site-related bleeding complications. Increased international adoption of the transradial access site for PCI procedures has been shown to reduce such major access site-related bleeding complications and mortality, especially in the high-risk patient groups. We provide a brief overview of the historical perspective on transradial approach and the evidence supporting its use. We then discuss the current data supporting transradial access in high-risk populations and factors that have limited its adoption.</description><identifier>ISSN: 1755-5302</identifier><identifier>EISSN: 1755-5310</identifier><identifier>DOI: 10.2217/ica.15.13</identifier><language>eng</language><publisher>London: Future Medicine Ltd</publisher><subject>Angioplasty ; Care and treatment ; Critically ill persons ; high risk ; Medical research ; Methods ; outcome ; percutaneous coronary intervention ; Precision medicine ; transradial</subject><ispartof>Interventional cardiology, 2015-07, Vol.7 (3), p.305-315</ispartof><rights>Future Medicine Ltd</rights><rights>COPYRIGHT 2015 Future Medicine Ltd.</rights><rights>2015 Future Medicine Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c285t-8af4f3946414120f8da5ba40a281ad4192595feb46dcdcfae4fac0f0a05501d43</citedby><cites>FETCH-LOGICAL-c285t-8af4f3946414120f8da5ba40a281ad4192595feb46dcdcfae4fac0f0a05501d43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids></links><search><creatorcontrib>Khoo, Chee W</creatorcontrib><creatorcontrib>Holroyd, Eric W</creatorcontrib><creatorcontrib>Butler, Rob</creatorcontrib><creatorcontrib>Nolan, James</creatorcontrib><creatorcontrib>Mamas, Mamas A</creatorcontrib><title>Transradial percutaneous coronary intervention in high-risk patients</title><title>Interventional cardiology</title><description>Percutaneous coronary intervention (PCI) is the commonest form of revascularization in patients with coronary heart disease. The benefit of early invasive treatment with PCI in patients presenting with acute coronary syndromes are well accepted. Traditionally, PCI has been performed via the femoral access with significant risks for the development of access site-related bleeding complications. Increased international adoption of the transradial access site for PCI procedures has been shown to reduce such major access site-related bleeding complications and mortality, especially in the high-risk patient groups. We provide a brief overview of the historical perspective on transradial approach and the evidence supporting its use. We then discuss the current data supporting transradial access in high-risk populations and factors that have limited its adoption.</description><subject>Angioplasty</subject><subject>Care and treatment</subject><subject>Critically ill persons</subject><subject>high risk</subject><subject>Medical research</subject><subject>Methods</subject><subject>outcome</subject><subject>percutaneous coronary intervention</subject><subject>Precision medicine</subject><subject>transradial</subject><issn>1755-5302</issn><issn>1755-5310</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptUE1rwzAMDWODla6H_YPATjsksxw7TY6l-4TCLt3ZqI7dumvszE4G-_dzydgYVDpIT7wniZck10BySmF-ZyTmwHMozpIJzDnPeAHk_Lcn9DKZhbAnMQpaEwKT5H7t0QaPjcFD2ikvhx6tckNIpfPOov9Kje2V_1S2N85GkO7Mdpd5E97TDnsT5-EqudB4CGr2U6fJ2-PDevmcrV6fXpaLVSZpxfusQs10UbOSAQNKdNUg3yAjSCvAhkFNec212rCykY3UqJhGSTRBwjmBhhXT5Gbc23n3MajQi70bvI0nBZR1UQJjVfHH2uJBCWO16z3K1gQpFoySktYVlJGVn2DFbFRrpLNKmzj_J7gdBdK7ELzSovOmjQYJIOJov4j2C-ACji_wkauHfvAqyGiTVGJErWqMNFad0H0DB-qJcQ</recordid><startdate>20150701</startdate><enddate>20150701</enddate><creator>Khoo, Chee W</creator><creator>Holroyd, Eric W</creator><creator>Butler, Rob</creator><creator>Nolan, James</creator><creator>Mamas, Mamas A</creator><general>Future Medicine Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20150701</creationdate><title>Transradial percutaneous coronary intervention in high-risk patients</title><author>Khoo, Chee W ; Holroyd, Eric W ; Butler, Rob ; Nolan, James ; Mamas, Mamas A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c285t-8af4f3946414120f8da5ba40a281ad4192595feb46dcdcfae4fac0f0a05501d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Angioplasty</topic><topic>Care and treatment</topic><topic>Critically ill persons</topic><topic>high risk</topic><topic>Medical research</topic><topic>Methods</topic><topic>outcome</topic><topic>percutaneous coronary intervention</topic><topic>Precision medicine</topic><topic>transradial</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khoo, Chee W</creatorcontrib><creatorcontrib>Holroyd, Eric W</creatorcontrib><creatorcontrib>Butler, Rob</creatorcontrib><creatorcontrib>Nolan, James</creatorcontrib><creatorcontrib>Mamas, Mamas A</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>UK & Ireland Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Interventional cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khoo, Chee W</au><au>Holroyd, Eric W</au><au>Butler, Rob</au><au>Nolan, James</au><au>Mamas, Mamas A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transradial percutaneous coronary intervention in high-risk patients</atitle><jtitle>Interventional cardiology</jtitle><date>2015-07-01</date><risdate>2015</risdate><volume>7</volume><issue>3</issue><spage>305</spage><epage>315</epage><pages>305-315</pages><issn>1755-5302</issn><eissn>1755-5310</eissn><abstract>Percutaneous coronary intervention (PCI) is the commonest form of revascularization in patients with coronary heart disease. 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| ispartof | Interventional cardiology, 2015-07, Vol.7 (3), p.305-315 |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Angioplasty Care and treatment Critically ill persons high risk Medical research Methods outcome percutaneous coronary intervention Precision medicine transradial |
| title | Transradial percutaneous coronary intervention in high-risk patients |
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