지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 521 - 526 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: Transradial intervention (TRI) shows anatomical and technical differences between the right radial approach (RRA) and left radial approach (LRA). The aim of this study was to evaluate the efficacy and safety using LRA, compared with RRA.
Materials and Methods: A total of 1653 consecutive patients who underwent TRI from November 2004 to October 2010 were enrolledin the Korean multicenter TRI registry. The patients were divided into two groups: the RRA group (n=792 patients) and the LRA group (n=861 patients). To adjust for any potential confounders, propensity score matched (PSM) analysis was performed (C-statistic: 0.726). After PSM, a total of 1100 patients were enrolled for analysis.
Results: After PSM, the RRA group exhibited a larger contrast volume (259.3±119.6 mL vs. 227.0±90.7 mL, p<0.001), a longer fluoroscopictime (22.5±28.0 minutes vs. 17.1±12.6 minutes) and higher access site change (12.3% vs. 1.0%, p<0.001) than the LRA group. Meanwhile, the LRA group showed a shorter procedure time (49.2±30.4 minutes vs. 55.4±28.7 minutes, p=0.003) than the RRA group. After PSM, in-hospital complications and 12-month cumulative clinical outcomes were similar between the two groups.
Conclusion: Of the two TRI methods, LRA was associated with better procedural efficacy, including shorter procedural time, smaller contrast volume, and less access site change than RRA. However, both methods showed similar 12-month cumulative clinical outcomes. Therefore, LRA was deemed superior to RRA in terms of procedural feasibility without a significant difference in clinical outcomes.
목차
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참고문헌 (17)
참고문헌 신청
/ 1999 / Effects of recombinant hirudin (lepirudin) compared with heparin on death, myocardial infarction, refractory angina, and revascularisation procedures in patients wit
Batchelor WB / 2000 / Contemporary outcome trends in the elderly undergoing percutaneous coronary interventions: results in 7,472 octogenarians. National Cardiovascular Netw
Brasselet C / 2008 / Comparison of operator radiation exposure with optimized radiation protection devices during coronary angiograms and ad hoc percutaneous coronary interve
Doyle BJ / 2009 / Bleeding, blood transfusion, and increased mortality after percutaneous coronary intervention: implications for contemporary practice / J Am Coll Cardiol 53
Fuchs S / 2002 / Stroke complicating percutaneous coronary interventions:incidence, predictors, and prognostic implications / Circulation 106 : 86 ~ 91
Batchelor WB / 2000 / Contemporary outcome trends in the elderly undergoing percutaneous coronary interventions: results in 7,472 octogenarians. National Cardiovascular Netw
Brasselet C / 2008 / Comparison of operator radiation exposure with optimized radiation protection devices during coronary angiograms and ad hoc percutaneous coronary interve
Doyle BJ / 2009 / Bleeding, blood transfusion, and increased mortality after percutaneous coronary intervention: implications for contemporary practice / J Am Coll Cardiol 53
Fuchs S / 2002 / Stroke complicating percutaneous coronary interventions:incidence, predictors, and prognostic implications / Circulation 106 : 86 ~ 91
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