Radial access versus femoral access in myocardial infarction – a single-center experience

Background Data on the relationship between radial access (RA) and outcome in patients with myocardial infarction (MI) undergoing percutaneous coronary intervention (PCI) are inconclusive. The aim of our study was to assess whether RA is associated with 30-day mortality in patients with MI undergoin...

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Bibliographic Details
Published in:Zdravniški vestnik (Ljubljana, Slovenia : 1992) Slovenia : 1992), 2019-10, Vol.88 (7-8), p.327-337
Main Authors: Kanič, Vojko, Balevski, Igor, Granda, Samo, Naji, Franjo Husam, Krajnc, Igor, Kompara, Gregor
Format: Article
Language:English
Subjects:
myocardial infarction
percutaneous coronary intervention
radial access
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Summary:Background Data on the relationship between radial access (RA) and outcome in patients with myocardial infarction (MI) undergoing percutaneous coronary intervention (PCI) are inconclusive. The aim of our study was to assess whether RA is associated with 30-day mortality in patients with MI undergoing percutaneous coronary intervention in our center or whether the possible benefit of RA is the result of less bleeding and other confounding factors. Methods We retrospectively studied 3501 consecutive patients with MI who underwent PCI between January 2012 and December 2016. The 30-day mortality in the RA and femoral access (FA) groups was observed. Data were analyzed using descriptive statistics. Results RA patients had a significantly lower 30-day unadjusted mortality [53(3.8%) patients died in the RA group compared to 207(9.8%) patients in the FA group; p
ISSN:1318-0347
1581-0224
DOI:10.6016/ZdravVestn.2849