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Bleeding Complications After PCI and the Role of Transradial Access.

Publication ,  Journal Article
Vora, AN; Rao, SV
Published in: Curr Treat Options Cardiovasc Med
May 2014

Bleeding events are the most common complications following percutaneous coronary intervention (PCI) and are associated with increases in short- and long-term mortality, nonfatal myocardial infarction, stroke, hospital length of stay, and hospital cost. Over time, there has been a decrease in periprocedural bleeding, primarily due to improvements in antithrombotic therapy; however, transradial (TR) catheterization has been shown to be an important strategy to minimize access site bleeding and potentially improve outcomes among patients with ST-segment elevation myocardial infarction. The rate of TR catheterization has been increasing significantly over the past few years and now accounts for an increasing proportion of procedures performed in the United States. Results from the recently published RIVAL Trial have shown comparable efficacy between transradial and transfemoral (TF) approaches with significant reduction in vascular access complications in the TR group. TR access in the STEMI population was prospectively assessed in the RIFLE-STEACS Trial and demonstrated significant reduction in the primary outcome of composite death/MI/stroke/target vessel revascularization/non-CABG bleeding. More recent studies have also demonstrated cost savings with TR access, related primarily to decreased hospital length of stay. While previous studies have shown increased operator radiation exposure compared to a TF approach, the most recent data suggest no significant difference in radiation at higher volume centers.

Duke Scholars

Published In

Curr Treat Options Cardiovasc Med

DOI

ISSN

1092-8464

Publication Date

May 2014

Volume

16

Issue

5

Start / End Page

305

Location

United States

Related Subject Headings

  • Cardiovascular System & Hematology
  • 3201 Cardiovascular medicine and haematology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Vora, A. N., & Rao, S. V. (2014). Bleeding Complications After PCI and the Role of Transradial Access. Curr Treat Options Cardiovasc Med, 16(5), 305. https://doi.org/10.1007/s11936-014-0305-6
Vora, Amit N., and Sunil V. Rao. “Bleeding Complications After PCI and the Role of Transradial Access.Curr Treat Options Cardiovasc Med 16, no. 5 (May 2014): 305. https://doi.org/10.1007/s11936-014-0305-6.
Vora AN, Rao SV. Bleeding Complications After PCI and the Role of Transradial Access. Curr Treat Options Cardiovasc Med. 2014 May;16(5):305.
Vora, Amit N., and Sunil V. Rao. “Bleeding Complications After PCI and the Role of Transradial Access.Curr Treat Options Cardiovasc Med, vol. 16, no. 5, May 2014, p. 305. Pubmed, doi:10.1007/s11936-014-0305-6.
Vora AN, Rao SV. Bleeding Complications After PCI and the Role of Transradial Access. Curr Treat Options Cardiovasc Med. 2014 May;16(5):305.

Published In

Curr Treat Options Cardiovasc Med

DOI

ISSN

1092-8464

Publication Date

May 2014

Volume

16

Issue

5

Start / End Page

305

Location

United States

Related Subject Headings

  • Cardiovascular System & Hematology
  • 3201 Cardiovascular medicine and haematology