2024
Novel Mechanical Aspiration Thrombectomy in Patients With Acute Pulmonary Embolism: Results From the Prospective APEX-AV Trial
Ranade M, Foster M, Brady P, Sokol S, Butty S, Klein A, Maholic R, Safar A, Patel T, Zlotnick D, Gans D, Pollak J, Ferrera D, Stegman B, Basra S, Moriarty J, Keeling B, Investigators A. Novel Mechanical Aspiration Thrombectomy in Patients With Acute Pulmonary Embolism: Results From the Prospective APEX-AV Trial. Journal Of The Society For Cardiovascular Angiography & Interventions 2024, 4: 102463. PMID: 40061412, PMCID: PMC11887559, DOI: 10.1016/j.jscai.2024.102463.Peer-Reviewed Original ResearchAcute intermediate-risk PEMechanical aspiration thrombectomyIntermediate-risk PEPulmonary embolismAspiration thrombectomyRV/LV ratioClot burdenAdverse eventsMm HgLow rate of adverse eventsMean pulmonary artery pressureEnd pointsRate of adverse eventsAcute pulmonary embolismPulmonary artery pressureSafety end pointDevice-related deathsTreat pulmonary embolismSingle-arm studyEffectiveness end pointAccess site bleedingStatistically significant reductionCardiac injuryClinical deteriorationArterial pressure
2023
Transradial intervention in dialysis patients undergoing percutaneous coronary intervention: a Japanese nationwide registry study
Kuno T, Yamaji K, Aikawa T, Sawano M, Ando T, Numasawa Y, Wada H, Amano T, Kozuma K, Kohsaka S. Transradial intervention in dialysis patients undergoing percutaneous coronary intervention: a Japanese nationwide registry study. European Heart Journal Open 2023, 3: oead116. PMID: 38105921, PMCID: PMC10721448, DOI: 10.1093/ehjopen/oead116.Peer-Reviewed Original ResearchPercutaneous coronary interventionAccess site bleedingTransradial interventionHospital deathTransfemoral interventionPeriprocedural complicationsSite bleedingCoronary interventionDialysis patientsAccess siteLower riskNationwide registry studyChronic coronary syndromeHospital complicationsCoronary syndromeRegistry studySecondary outcomesPrimary outcomePatient populationBleeding rateRegistry dataComplicationsPatientsTRI groupDialysis
2022
Sex-Based Differences in Periprocedural Complications Following Lower Extremity Peripheral Vascular Intervention
Altin S, Gitto M, Secemsky E, Rao S, Hess C. Sex-Based Differences in Periprocedural Complications Following Lower Extremity Peripheral Vascular Intervention. Circulation Cardiovascular Interventions 2022, 15: e011768. PMID: 35938403, DOI: 10.1161/circinterventions.121.011768.Peer-Reviewed Original ResearchConceptsLower extremity peripheral vascular interventionsPeripheral vascular interventionsSymptomatic peripheral artery diseasePeripheral artery diseasePeriprocedural complicationsArtery diseaseHigh riskHospital mortalityKnee amputationFemale sexVascular interventionsVascular Quality Initiative registryAccess site bleedingAccess site complicationsPercutaneous coronary interventionCoronary artery diseaseSex-based outcomesMultivariate logistic regressionWarrants further investigationSex-based differencesBaseline patientSite bleedingCoronary interventionSite complicationsContemporary cohortTransradial versus transfemoral approach for percutaneous coronary intervention in patients with ST-elevation myocardial infarction complicated by cardiogenic shock: a systematic review and meta-analysis
Ahsan M, Ahmad S, Latif A, Lateef N, Ahsan M, Abusnina W, Nathan S, Altin S, Kolte D, Messenger J, Tannenbaum M, Goldsweig A. Transradial versus transfemoral approach for percutaneous coronary intervention in patients with ST-elevation myocardial infarction complicated by cardiogenic shock: a systematic review and meta-analysis. European Heart Journal - Quality Of Care And Clinical Outcomes 2022, 8: 640-650. PMID: 35460230, PMCID: PMC9442849, DOI: 10.1093/ehjqcco/qcac018.Peer-Reviewed Original ResearchConceptsST-elevation myocardial infarctionPercutaneous coronary interventionAccess site bleedingCardiogenic shockTransfemoral accessTransradial accessTIMI3 flowSite bleedingCoronary interventionProcedural successContrast volumeYear mortalityMyocardial infarctionRisk ratioSystematic reviewProcedural success rateConfidence intervalsCoronary flow gradeRandom-effects modelFlow gradeTransfemoral approachRetrospective studyLower mortalityBleedingMortality
2018
Adoption of the transradial approach for percutaneous coronary intervention and rates of vascular complications following transfemoral procedures: Insights from NCDR
Badri M, Shapiro T, Wang Y, Minges KE, Curtis JP, Gray WA. Adoption of the transradial approach for percutaneous coronary intervention and rates of vascular complications following transfemoral procedures: Insights from NCDR. Catheterization And Cardiovascular Interventions 2018, 92: 835-841. PMID: 29359497, DOI: 10.1002/ccd.27490.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionTransfemoral percutaneous coronary interventionVascular complicationsTransradial approachCoronary interventionAccess site bleedingNCDR CathPCI RegistryFemoral operatorsTransfemoral proceduresRetroperitoneal bleedingCathPCI RegistrySite bleedingRetrospective analysisComplicationsPropensity scorePreadoption periodBleedingMeaningful increaseInterventionRecent studiesHematomaRegistryNCDRAccess skillsPhysicians
2014
Change in Hospital-Level Use of Transradial Percutaneous Coronary Intervention and Periprocedural Outcomes
Bradley SM, Rao SV, Curtis JP, Parzynski CS, Messenger JC, Daugherty SL, Rumsfeld JS, Gurm HS. Change in Hospital-Level Use of Transradial Percutaneous Coronary Intervention and Periprocedural Outcomes. Circulation Cardiovascular Quality And Outcomes 2014, 7: 550-559. PMID: 24899678, PMCID: PMC5173329, DOI: 10.1161/circoutcomes.114.001020.Peer-Reviewed Original ResearchConceptsTransradial percutaneous coronary interventionPercutaneous coronary interventionAccess site bleedingCoronary interventionHospital categoryOverall bleedingPeriprocedural outcomesSite bleedingContrast useNational Cardiovascular Data Registry CathPCI RegistryPercutaneous coronary intervention outcomesFacility-level useHospital-level useRisk-adjusted associationCathPCI RegistryLower hospitalRadial accessFluoroscopy timeAccess siteBleedingRate of declineHospitalHospital changesSimilar findingsIntervention outcomesBleeding Complications After PCI and the Role of Transradial Access
Vora A, Rao S. Bleeding Complications After PCI and the Role of Transradial Access. Current Treatment Options In Cardiovascular Medicine 2014, 16: 305. PMID: 24728547, DOI: 10.1007/s11936-014-0305-6.Peer-Reviewed Original ResearchPercutaneous coronary interventionHospital lengthMyocardial infarctionST-segment elevation myocardial infarctionProportion of proceduresHospital length of stayHigh-volume centersOperator radiation exposureIncreased operator radiation exposureLength of stayDecreased hospital lengthLong-term mortalityNonfatal myocardial infarctionTR accessElevation myocardial infarctionVascular access complicationsAccess site bleedingIncreasing proportion of proceduresPrimary outcomeBleeding complicationsAntithrombotic therapyNo significant differenceHospital costsTransfemoral (TFVolume centers
2006
Ischemic and bleeding outcomes in women treated with bivalirudin during percutaneous coronary intervention: A subgroup analysis of the Randomized Evaluation in PCI Linking Angiomax to Reduced Clinical Events (REPLACE)–2 trial
Chacko M, Lincoff AM, Wolski KE, Cohen DJ, Bittl JA, Lansky AJ, Tsuchiya Y, Betriu A, Yen MH, Chew DP, Cho L, Topol EJ. Ischemic and bleeding outcomes in women treated with bivalirudin during percutaneous coronary intervention: A subgroup analysis of the Randomized Evaluation in PCI Linking Angiomax to Reduced Clinical Events (REPLACE)–2 trial. American Heart Journal 2006, 151: 1032.e1-1032.e7. PMID: 16644331, DOI: 10.1016/j.ahj.2006.02.012.Peer-Reviewed Original ResearchMeSH KeywordsAgedAngioplasty, Balloon, CoronaryAnticoagulantsDrug Therapy, CombinationFemaleHemorrhageHeparinHirudinsHumansMaleMulticenter Studies as TopicMyocardial InfarctionMyocardial RevascularizationPeptide FragmentsPlatelet Glycoprotein GPIIb-IIIa ComplexRandomized Controlled Trials as TopicRecombinant ProteinsRetrospective StudiesRisk AssessmentSex FactorsConceptsPercutaneous coronary interventionIschemic end pointsComposite ischemic end pointsContemporary percutaneous coronary interventionGpIIb-IIIa blockadeEnd pointMajor bleedingCoronary interventionMyocardial infarctionSubgroup analysisProvisional glycoprotein IIb/IIIa blockadeGlycoprotein IIb/IIIa blockadeAccess site bleedingInherent bleeding riskPCI Linking AngiomaxCongestive heart failureSex-based subgroup analysisPrior revascularizationUrgent revascularizationBleeding riskMinor bleedingMore diabetesSite bleedingHeart failurePoor outcome
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