A Comparison of Transradial and Transfemoral Percutaneous Coronary Intervention in Chinese Women Based on a Propensity Score Analysis

Yi Xu; Chen Jin; Shubin Qiao; Yongjian Wu; Hongbing Yan; Kefei Dou; Bo Xu; Jingang Yang; Yuejin Yang

추천

검색

자료유형: 학술저널

저자정보: Yi Xu (Fuwai Hospital National Center of Cardiovascular Diseases Chinese Academy of Medical Sciences and) Chen Jin (Fuwai Hospital National Center of Cardiovascular Diseases Chinese Academy of Medical Sciences and) Shubin Qiao (Fuwai Hospital National Center of Cardiovascular Diseases Chinese Academy of Medical Sciences and) Yongjian Wu (Fuwai Hospital National Center of Cardiovascular Diseases Chinese Academy of Medical Sciences and) Hongbing Yan (Fuwai Hospital National Center of Cardiovascular Diseases Chinese Academy of Medical Sciences and) Kefei Dou (Fuwai Hospital National Center of Cardiovascular Diseases Chinese Academy of Medical Sciences and) Bo Xu (Fuwai Hospital National Center of Cardiovascular Diseases Chinese Academy of Medical Sciences and) Jingang Yang (Fuwai Hospital National Center of Cardiovascular Diseases Chinese Academy of Medical Sciences and) Yuejin Yang (Fuwai Hospital National Center of Cardiovascular Diseases Chinese Academy of Medical Sciences and)

저널정보: 대한심장학회 Korean Circulation Journal Korean Circulation Journal Vol.48 No.8

발행연도: 2018.1

수록면: 719 - 727 (9page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background and Objectives: Over the past decades, transradial approach for percutaneous coronary intervention (PCI) has been increasingly adopted in clinical practice. Women represent a large population who will possibly benefit from PCI, but they are often under-represented in clinical studies. Therefore, the role of TRI in women remains to be further defined. This study sought to compare safety and efficacy for transradial intervention (TRI) and transfemoral intervention (TFI) in women undergoing PCI in China. Methods: The study population consisted of 5,067 women undergoing PCI at Fuwai Hospital, Beijing, China between 2006 and 2011 (TRI: n=4,105, TFI: n=962). Incidence rates of clinical outcomes during hospitalization and at 1-year follow-up were compared between TRI and TFI. In order to minimize potential biases, a 1:1 propensity score matching (PSM) was performed. A total of 899 pairs were matched. Results: Baseline and procedural characteristics were well-balanced between TRI and TFI groups after controlling for confounders using PSM. TRI was associated with reduced major post-PCI bleeding (odds ratio [OR], 0.64; 95% confidence interval [CI], 0.54–0.76; p<0.001) and access site complications (OR, 0.67; 95% CI, 0.61–0.74; p<0.001) after PSM. There was no statistical differences in the incidence rates of major adverse cardiac events (a composite of cardiac death, myocardial infarction, and target vessel revascularization) both during hospitalization and at 1-year follow-up (p>0.05). Conclusions: In this propensity score-based analysis of TRI versus TFI in Chinese women, TRI showed advantages of safety and feasibility over TFI. A wider adoption of TRI in women has the potential to improve outcomes in treatment of coronary artery diseases.

참고문헌 (27)

참고문헌 신청

Kiemeneij F / 1993 / Percutaneous transradial artery approach for coronary stent implantation / Cathet Cardiovasc Diagn 30:173~178

Jolly SS / 2009 / Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials / Am Heart J 157:132~140

Jolly SS / 2011 / Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial / Lancet 377:1409~1420

Bertrand OF / 2012 / Comparison of transradial and femoral approaches for percutaneous coronary interventions: a systematic review and hierarchical Bayesian meta-analysis / Am Heart J 163:632~648

Valgimigli M / 2015 / Radial versus femoral access in patients with acute coronary syndromes undergoing invasive management: a randomised multicentre trial / Lancet 385:2465~2476

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!