Impact of percutaneous invasive coronary procedures using a radial approach on endothelial function of radial artery

Sabatowski, Karol; Szotek, Michał; Węgrzyn, Krzysztof; Tokarek, Tomasz; Siudak, Zbigniew; Dudek, Dariusz

doi:10.5114/aic.2018.74361

Cited by 2 publications

(3 citation statements)

References 22 publications

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“…To the best of our knowledge, this study is, to date, the largest multicenter report describing the impact of change in access site practice towards RA on clinical outcome for PCI undertaken through FA in an unselected cohort of patients. Safety and benefits of RA adaptation in PCI have been previously confirmed [1,2,3,4,5,6,7,8]. However, the change in access site practice from FA to a predominantly RA outlined an impact of experience as key variable influencing outcomes.…”

Section: Discussionmentioning

confidence: 95%

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Radial Approach Expertise and Clinical Outcomes of Percutanous Coronary Interventions Performed Using Femoral Approach

Tokarek

Dziewierz

Plens

et al. 2019

JCM

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We sought to evaluate the impact of experience and proficiency with radial approach (RA) on clinical outcomes of percutaneous coronary interventions (PCI) performed via femoral approach (FA) in the “real-world” national registry. A total of 539 invasive cardiologists performing PCIs in 151 invasive cardiology centers in Poland between 2014 and 2017 were included. Proficiency threshold was set at >300 PCIs during four consecutive years per individual operator. The majority of operators performed >75% of all PCIs via RA (449 (65.4%)), 143 (20.8%) in 50–75% of cases, 62 (9.0%) in 25–50% and only 33 (4.8%) invasive cardiologists were using RA in <25% of all PCIs. Operators with the highest proficiency in RA were associated with increased risk of periprocedural death, stroke and bleeding complications at access site during angiography via FA. Similarly, higher prevalence of periprocedural mortality during PCI with FA was observed in most experienced radial operators as compared to other groups. The detrimental effect of FA utilization by the most experienced radial operators was observed in both stable angina and acute coronary syndromes. Higher experience and utilization of RA might be linked to worse outcomes of PCIs performed via femoral artery in both stable and acute settings.

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Section: Discussionmentioning

confidence: 95%

“…Radial approach (RA) for percutaneous coronary intervention (PCI) is associated with reduced mortality and access site complications [1,2,3,4,5,6,7,8]. Mounting evidence favoring radial over femoral approach was reflected in the current European Society of Cardiology (ESC) guidelines [9].…”

Section: Introductionmentioning

confidence: 99%

Radial Approach Expertise and Clinical Outcomes of Percutanous Coronary Interventions Performed Using Femoral Approach

Tokarek

Dziewierz

Plens

et al. 2019

JCM

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“…Radial approach (RA) has been widely adopted in percutaneous coronary interventions (PCIs) [1][2][3][4][5][6]. A growing body of evidence demonstrated the advantage of the RA over the femoral approach (FA) in PCI for ST-segment elevation myocardial infarction (STEMI) [1][2][3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Radial approach reduces mortality in ST-segment elevation myocardial infarction with cardiogenic shock

Tokarek¹,

Dziewierz²,

Plens³

et al. 2021

Polish Archives of Internal Medicine

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This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited, distributed under the same license, and used for noncommercial purposes only.

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Impact of percutaneous invasive coronary procedures using a radial approach on endothelial function of radial artery

Cited by 2 publications

References 22 publications

Radial Approach Expertise and Clinical Outcomes of Percutanous Coronary Interventions Performed Using Femoral Approach

Radial Approach Expertise and Clinical Outcomes of Percutanous Coronary Interventions Performed Using Femoral Approach

Radial approach reduces mortality in ST-segment elevation myocardial infarction with cardiogenic shock

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