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- W70375620 abstract "coronary syndrome and undergoing PCI1 did not show any significant benefit of the trans-radial approach on major bleeding, MACE2 or mortality [7]. Recently, a randomized study comparing trans-radial to trans-femoral intervention in patients undergoing primary PCI for acute ST-elevation myocardial infarction was presented (TCT 2012). No differences were noted between the radial and femoral approaches in rates of death, repeated myocardial infarction, and stroke; however, a significant 80% relative risk reduction was observed in the rate of bleeding. Bleeding, especially major, has been described in several trials and in a variety of clinical settings as an independent predictor of short and long-term outcome [8]. In the context of PCI, early bleeding may result in the interruption of dual antiplatelet therapy leading to thrombotic coronary events. Furthermore, bleeding itself may also be prothrombotic [9]. Much variability in the use of transradial intervention remains between countries and between centers and operators. While it is the preferred route for cardiac catheterization and PCI in some European countries today, in the United States fewer than 10% of procedures are performed using the radial route. Over the last decade the use of trans-radial intervention in Israel has grown in popularity to the extent that about one-third of all coronary procedures in patients with acute coronary syndromes are performed using the radial approach [1]. Technically, the radial approach can be challenging and requires a learning curve." @default.
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- W70375620 date "2013-06-01" @default.
- W70375620 modified "2023-09-23" @default.
- W70375620 title "Trans-radial coronary interventions: a win-win for both patient and operator." @default.
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