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

MedStar author(s):
Citation: American Heart Journal. 170(1):13-22, 2015 Jul.PMID: 26093860Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Blood Loss, Surgical/pc [Prevention & Control] | *Cardiac Catheterization/mt [Methods] | *Coronary Artery Disease/su [Surgery] | *Femoral Artery | *Myocardial Infarction/su [Surgery] | *Percutaneous Coronary Intervention/mt [Methods] | *Postoperative Hemorrhage/pc [Prevention & Control] | *Radial Artery | Coronary Angiography/mt [Methods] | Humans | Practice Guidelines as Topic | Surgery, Computer-Assisted | Treatment Outcome | Vascular Closure DevicesYear: 2015Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006ISSN:
  • 0002-8703
Name of journal: American heart journalAbstract: 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.All authors: Ansel GM, Baker NC, Escarcega RO, Jolly SS, Lhermusier T, Lipinski MJ, Magalhaes MA, Minha S, Pichard AD, Rao SV, Steinberg D, Waksman RFiscal year: FY2016Digital Object Identifier: Date added to catalog: 2016-01-13
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 26093860 Available 26093860

Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006

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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