Imperial College London

ProfessorPatrickSerruys

Faculty of MedicineNational Heart & Lung Institute

Visiting Professor
 
 
 
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Contact

 

p.serruys

 
 
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Location

 

c/o Prof Kim FoxGuy Scadding BuildingRoyal Brompton Campus

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Summary

 

Publications

Citation

BibTex format

@article{Marti:2014:10.1016/j.recesp.2014.02.026,
author = {Marti, V and Brugaletta, S and García-Picart, J and Delgado, G and Cequier, A and Iñiguez, A and Hernandez-Antolin, R and Serruys, P and Serra, A and Sabaté, M and en, representación de los investigadores del estudio Examination},
doi = {10.1016/j.recesp.2014.02.026},
journal = {Rev Esp Cardiol},
title = {Radial Versus Femoral Access for Angioplasty of ST-segment Elevation Acute Myocardial Infarction With Second-generation Drug-eluting Stents.},
url = {http://dx.doi.org/10.1016/j.recesp.2014.02.026},
year = {2014}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - INTRODUCTION AND OBJECTIVES: Invasive and pharmacological treatment of ST-segment elevation acute myocardial infarction reduces the rate of ischemic events but not bleeding complications. The objective of this study was to compare clinical results and bleeding complications between femoral and radial access routes in patients with ST-segment elevation acute myocardial infarction. METHODS: An evaluation was performed of the population of the Examination study, a randomized, multicenter, clinical trial that included 1498 patients with ST-segment elevation acute myocardial infarction who underwent emergency angioplasty. Subanalysis of this population was conducted to compare patients by type of access (femoral vs radial). The primary end point was a composite of: all-cause death, myocardial infarction, revascularization, and bleeding. RESULTS: Femoral and radial access routes were used in 825 (55%) and 673 (45%) patients, respectively. More bleeding complications (major and minor) were seen with femoral access than radial access (5.9% vs 2.8%; P<.004), largely due to a greater incidence of minor bleeding with femoral access (4.6% vs 1.9%; P=.005). After adjustment for confounders, survival analysis showed a reduction in the primary composite end point in patients with radial access (hazard ratio=0.73; 95% confidence interval, 0.56-0.96; P=.022). CONCLUSIONS: In patients with ST-segment elevation acute myocardial infarction, the radial approach is an effective technique that improves prognosis and reduces bleeding complications. Full English text available from: www.revespcardiol.org/en.
AU - Marti,V
AU - Brugaletta,S
AU - García-Picart,J
AU - Delgado,G
AU - Cequier,A
AU - Iñiguez,A
AU - Hernandez-Antolin,R
AU - Serruys,P
AU - Serra,A
AU - Sabaté,M
AU - en,representación de los investigadores del estudio Examination
DO - 10.1016/j.recesp.2014.02.026
PY - 2014///
TI - Radial Versus Femoral Access for Angioplasty of ST-segment Elevation Acute Myocardial Infarction With Second-generation Drug-eluting Stents.
T2 - Rev Esp Cardiol
UR - http://dx.doi.org/10.1016/j.recesp.2014.02.026
UR - http://www.ncbi.nlm.nih.gov/pubmed/25064315
ER -