Transradial Versus Transfemoral Carotid Artery Stenting: A 16-Year Single-Center Experience.
J Interv Cardiol
; 29(6): 588-593, 2016 Dec.
Article
em En
| MEDLINE
| ID: mdl-27634206
ABSTRACT
AIMS:
Limited data exist on radial access in carotid artery stenting (CAS). This single-center study was performed to compare the outcome and complication rates of transradial (TR) and transfemoral (TF) CAS. METHODS ANDRESULTS:
The clinical and angiographic data of 775 consecutive patients with high risk for carotid endarterectomy, treated between 1999 and 2016 by CAS with cerebral protection, were evaluated. Patients were divided into 2 groups according to vascular access TR (n = 101; 13%) and TF (n = 674). Primary combined end-point in-hospital major adverse cardiac and cerebral events. Secondary end-points angiographic outcome of the procedure and crossover rate to another puncture site. Angiographic success was achieved in all 775 patients, the crossover rate was 4.9% in the TR and 0% in the TF group (P < 0.05). TR was performed at the right side in 97% of cases. The incidence of in-hospital major adverse cardiac and cerebral events was 2% in the TR and 3.6% in the TF group (P = ns).CONCLUSIONS:
The TR approach for CAS is safe and efficacious, with acceptable cross-over rate. In both groups, vascular complications rarely occurred.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Cateterismo Periférico
/
Artérias Carótidas
/
Estenose das Carótidas
/
Artéria Radial
/
Implante de Prótese Vascular
/
Artéria Femoral
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do sul
/
Argentina
Idioma:
En
Revista:
J Interv Cardiol
Assunto da revista:
CARDIOLOGIA
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Argentina