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Radial access in patients with acute coronary syndrome without persistent ST-segment elevation: Systematic review, collaborative meta-analysis, and meta-regression

Andò, Giuseppe ; Porto, Italo ; Montalescot, Gilles ; Bolognese, Leonardo ; Trani, Carlo ; Oreto, Giuseppe ; Harrington, Robert A ; Bhatt, Deepak L

International Journal of Cardiology, 01 November 2016, Vol.222, pp.1031-1039 [Periódico revisado por pares]

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  • Título:
    Radial access in patients with acute coronary syndrome without persistent ST-segment elevation: Systematic review, collaborative meta-analysis, and meta-regression
  • Autor: Andò, Giuseppe ; Porto, Italo ; Montalescot, Gilles ; Bolognese, Leonardo ; Trani, Carlo ; Oreto, Giuseppe ; Harrington, Robert A ; Bhatt, Deepak L
  • Assuntos: Radial Access ; Percutaneous Coronary Intervention ; Acute Coronary Syndrome ; Radial Access ; Percutaneous Coronary Intervention ; Acute Coronary Syndrome ; Medicine
  • É parte de: International Journal of Cardiology, 01 November 2016, Vol.222, pp.1031-1039
  • Descrição: Consistent evidence of benefit exists for radial access (RA) in ST-elevation acute myocardial infarction (STI). Patients with non ST-elevation acute coronary syndrome (NSTE-ACS) have a more varied ischemic and bleeding profile. No randomized trial of vascular access ever focused on NSTE-ACS and landmark studies did not provide conclusive results in this heterogeneous subset of patients. We assessed in a meta-analysis whether RA is associated with improved outcomes in NSTE-ACS patients. Included studies had to meet the following criteria: 1) enrolling patients with NSTE-ACS undergoing invasive management; 2) reporting outcomes with respect to RA as compared with femoral access (FA); 3) reporting short-term (procedural, in-hospital and up to 30-day) or long-term clinical outcomes. Studies were pooled with fixed and random effects models and heterogeneity was investigated by weighted meta-regression. Eleven studies were included encompassing...
  • Idioma: Inglês

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