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

被引:19
作者
Tokarek, Tomasz [1 ,2 ]
Dziewierz, Artur [1 ,3 ]
Plens, Krzysztof [4 ]
Rakowski, Tomasz [1 ,3 ]
Dudek, Dariusz [3 ]
Siudak, Zbigniew [5 ]
机构
[1] Univ Hosp, Dept Cardiol & Cardiovasc Intervent, Ul Jakubowskiego 2, PL-30688 Krakow, Poland
[2] Jagiellonian Univ, Dept Intens Care & Perioperat Med, Med Coll, Krakow, Poland
[3] Jagiellonian Univ, Dept Cardiol 2, Inst Cardiol, Med Coll, Krakow, Poland
[4] KCRI, Krakow, Poland
[5] Jan Kochanowski Univ, Fac Med & Hlth Sci, Kielce, Poland
来源
POLISH ARCHIVES OF INTERNAL MEDICINE-POLSKIE ARCHIWUM MEDYCYNY WEWNETRZNEJ | 2021年 / 131卷 / 05期
关键词
cardiogenic shock; femoral approach; mortality; radial approach; registry; PERCUTANEOUS CORONARY INTERVENTION; FEMORAL APPROACH; ARTERIAL ACCESS; METAANALYSIS; ANGIOGRAPHY; EXPERIENCE; OUTCOMES; SUPPORT;
D O I
10.20452/pamw.15886
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
INTRODuCTION The beneficial outcome of the radial approach (RA) over the femoral approach (FA) in ST -segment elevation myocardial infarction (STEMI) has been widely demonstrated. However, most of the studies excluded patients with STEMI and cardiogenic shock (CS). OBjECTIvES We sought to evaluate periprocedural outcomes of percutaneous coronary intervention (PCI) with the RA and FA in patients with STEMI complicated by CS using data from the Polish National PCI Registry (ORPKI). PATIENTS AND METNODS A total of 3565 consecutive patients with STEMI and CS treated with emergent PCI and stent implantation were included. Data were collected prospectively from 151 tertiary invasive cardiology centers performing primary PCI in Poland between 2014 and 2018. To avoid possible selection bias, propensity score matching was used to create 945 matched pairs treated via the RA or FA. RESuLTS No differences were reported in baseline characteristics, clinical presentation, and delays in treatment between the RA and FA after propensity score matching. Similar radiation doses and total amount of contrast were used in both groups. A similar rate of periprocedural complications was observed in both RA and FA. However, the RA was associated with reduced periprocedural mortality (89 [9.4%] vs 176 [18.6%]; P = 0.001) and lower incidence of cardiac arrest (92 [9.7%] vs 152 [16.1%]; P = 0.001). The FA was the strongest independent predictor of increased periprocedural mortality in the multivariable analysis (odds ratio, 2.087; 95% CI, 1.629-2.674; P = 0.001). CONCLuSIONS The RA was associated with lower periprocedural mortality compared with the FA in patients with STEMI complicated by CS. The RA seems to be a valuable option in technically feasible situations.
引用
收藏
页码:421 / 428
页数:8
相关论文
共 34 条
  • [1] Radiation exposure and contrast agent use related to radial versus femoral arterial access during percutaneous coronary intervention (PCI)-Results of the FERARI study
    Becher, Tobias
    Behnes, Michael
    Uensal, Melike
    Baumann, Stefan
    El-Battrawy, Ibrahim
    Fastner, Christian
    Kuschyk, Juergen
    Papavassiliu, Theano
    Hoffmann, Ursula
    Mashayekhi, Kambis
    Borggrefe, Martin
    Akin, Ibrahim
    [J]. CARDIOVASCULAR REVASCULARIZATION MEDICINE, 2016, 17 (08) : 505 - 509
  • [2] Early and late outcomes after primary percutaneous coronary intervention by radial or femoral approach in patients presenting in acute ST-elevation myocardial infarction and cardiogenic shock
    Bernat, Ivo
    Abdelaal, Eltigani
    Plourde, Guillaume
    Bataille, Yoann
    Cech, Jakub
    Pesek, Jan
    Koza, Jiri
    Jirous, Stepan
    Machaalany, Jimmy
    Dery, Jean-Pierre
    Costerousse, Olivier
    Rokyta, Richard
    Bertrand, Olivier F.
    [J]. AMERICAN HEART JOURNAL, 2013, 165 (03) : 338 - 343
  • [3] Interventional cardiology in Poland in 2019. Summary report of the Association of Cardiovascular Interventions of the Polish Cardiac Society (AISN PTK) and Jagiellonian University Medical College
    Dudek, Dariusz
    Siudak, Zbigniew
    Grygier, Marek
    Araszkiewicz, Aleksander
    Dabrowski, Maciej
    Kusa, Jacek
    Hawranek, Michal
    Huczek, Zenon
    Kralisz, Pawel
    Roleder, Tomasz
    Wojakowski, Wojciech
    Parma, Radoslaw
    Malinowski, Krzysztof P.
    Bartus, Stanislaw
    [J]. POSTEPY W KARDIOLOGII INTERWENCYJNEJ, 2020, 16 (02): : 123 - 126
  • [4] Determinants of stroke following percutaneous coronary intervention in acute myocardial infarction (from ORPKI Polish National Registry)
    Dziewierz, Artur
    Siudak, Zbigniew
    Tokarek, Tomasz
    Rakowski, Tomasz
    Dudek, Dariusz
    [J]. INTERNATIONAL JOURNAL OF CARDIOLOGY, 2016, 223 : 236 - 238
  • [5] Transradial Intervention for Patients with ST Elevation Myocardial Infarction with or without Cardiogenic Shock
    Fujii, Toshiharu
    Masuda, Naoki
    Ijichi, Takeshi
    Kamiyama, Yoshinari
    Tanaka, Shigemitsu
    Nakazawa, Gaku
    Shinozaki, Norihiko
    Matsukage, Takashi
    Ogata, Nobuhiko
    Ikari, Yuji
    [J]. CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2014, 83 (01) : E1 - E7
  • [6] Comparison of radial to femoral PCI in acute myocardial infarction and cardiogenic shock: a systematic review
    Gandhi, Sumeet
    Kakar, Ron
    Overgaard, Christopher B.
    [J]. JOURNAL OF THROMBOSIS AND THROMBOLYSIS, 2015, 40 (01) : 108 - 117
  • [7] Radial versus femoral artery access for percutaneous coronary artery intervention in patients with acute myocardial infarction and multivessel disease complicated by cardiogenic shock: Subanalysis from the CULPRIT-SHOCK trial
    Guedeney, Paul
    Thiele, Holger
    Kerneis, Mathieu
    Barthelemy, Olivier
    Baumann, Stefan
    Sandri, Marcus
    de Waha-Thiele, Suzanne
    Fuernau, Georg
    Rouanet, Stephanie
    Piek, Jan J.
    Landmesser, Ulf
    Hauguel-Moreau, Marie
    Zeitouni, Michel
    Silvain, Johanne
    Lattuca, Benoit
    Windecker, Stephan
    Collet, Jean-Philippe
    Desch, Steffen
    Zeymer, Uwe
    Montalescot, Gilles
    Akin, Ibrahim
    [J]. AMERICAN HEART JOURNAL, 2020, 225 : 60 - 68
  • [8] 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation
    Ibanez, Borja
    James, Stefan
    Agewall, Stefan
    Antunes, Manuel J.
    Bucciarelli-Ducci, Chiara
    Bueno, Hector
    Caforio, Alida L. P.
    Crea, Filippo
    Goudevenos, John A.
    Halvorsen, Sigrun
    Hindricks, Gerhard
    Kastrati, Adnan
    Lenzen, Mattie J.
    Prescott, Eva
    Roffi, Marco
    Valgimigli, Marco
    Varenhorst, Christoph
    Vranckx, Pascal
    Widimsky, Petr
    [J]. KARDIOLOGIA POLSKA, 2018, 76 (02) : 229 - 313
  • [9] Circulating MiRNA Dynamics in ST-Segment Elevation Myocardial Infarction-driven Cardiogenic Shock
    Iborra-Egea, Oriol
    Rueda, Ferran
    Lakkisto, Paivi
    Harjola, Veli-Pekka
    Garcia-Garcia, Cosme
    Bayes-Genis, Antoni
    [J]. REVISTA ESPANOLA DE CARDIOLOGIA, 2019, 72 (09): : 783 - 786
  • [10] Effect of day- and night-time admissions on long-term clinical outcomes of patients with acute myocardial infarction treated with percutaneous coronary intervention
    Januszek, Rafal
    Siudak, Zbigniew
    Janion-Sadowska, Agnieszka
    Jedrychowska, Magdalena
    Staszczak, Bartlomiej
    Bartus, Jerzy
    Plens, Krzysztof
    Bartus, Stanislaw
    Dudek, Dariusz
    [J]. POLISH ARCHIVES OF INTERNAL MEDICINE-POLSKIE ARCHIWUM MEDYCYNY WEWNETRZNEJ, 2020, 130 (7-8): : 570 - 581