MedStar Authors catalog › Details for: The choice of arterial access for percutaneous coronary intervention and its impact on outcome: An expert opinion perspective. [Review]
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The choice of arterial access for percutaneous coronary intervention and its impact on outcome: An expert opinion perspective. [Review]

by Baker, Nevin C; Pichard, Augusto D; Lipinski, Michael J; Escarcega, Ricardo O; Minha, Sa'ar; Lhermusier, Thibault; Magalhaes, Marco A; Waksman, Ron.
Citation: American Heart Journal. 170(1):13-22, 2015 Jul..Journal: American heart journal.ISSN: 0002-8703.Full author list: Baker NC; Ansel GM; Rao SV; Jolly SS; Pichard AD; Steinberg D; Lipinski MJ; Escarcega RO; Minha S; Lhermusier T; Magalhaes MA; Waksman R.UI/PMID: 26093860.Subject(s): *Blood Loss, Surgical/pc [Prevention & Control] | *Cardiac Catheterization/mt [Methods] | Coronary Angiography/mt [Methods] | *Coronary Artery Disease/su [Surgery] | *Femoral Artery | Humans | *Myocardial Infarction/su [Surgery] | *Percutaneous Coronary Intervention/mt [Methods] | *Postoperative Hemorrhage/pc [Prevention & Control] | Practice Guidelines as Topic | *Radial Artery | Surgery, Computer-Assisted | Treatment Outcome | Vascular Closure DevicesInstitution(s): MedStar Heart & Vascular InstituteActivity type: Journal Article.Medline article type(s): Journal Article | ReviewOnline resources: Click here to access online Digital Object Identifier: http://dx.doi.org/10.1016/j.ahj.2015.04.023 (Click here) Abbreviated citation: Am Heart J. 170(1):13-22, 2015 Jul.Local Holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006.Abstract: The prevention of major bleeding during percutaneous coronary intervention is one of the most widely discussed and often controversial topics within interventional cardiology. The choice of arterial access should be considered a mechanism for bleeding avoidance, and various strategies have been proposed to prevent or lower major bleeding and vascular complications with varying levels of strength. Herein, we review the current literature on arterial access as a bleeding avoidance strategy during percutaneous coronary intervention and its impact on outcome and provide a consensus opinion based on the strength of the evidence supporting various techniques. Copyright � 2015 Elsevier Inc. All rights reserved.

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