000			03569nam a22005057a 4500
008			240807s20242024 xxu||||| |||| 00| 0 eng d
022			_a1878-0938
024			_aS1553-8389(24)00173-8 [pii]
040			_aOvid MEDLINE(R)
099			_a38677895
245			_aFrequency of ventriculography during left heart catheterization for radial vs. femoral access.
251			_aCardiovascular Revascularization Medicine. 2024 Apr 15
252			_aCardiovasc Revasc Med. 2024 Apr 15
253			_aCardiovascular revascularization medicine : including molecular interventions
260			_c2024
260			_fFY2024
260			_p2024 Apr 15
265			_saheadofprint
265			_tPublisher
266			_d2024-08-07
266			_z2024/04/27 21:56
501			_aAvailable in print through MWHC library: 2002 - present
520			_aBACKGROUND: Radial artery access has been used for left heart catheterization (LHC) and percutaneous coronary intervention (PCI) for over 30 years. This method has gained popularity among operators due to superficial vessel anatomy, allowing for easy accessibility and compressibility, resulting in effective hemostasis.
520			_aCONCLUSIONS: The analysis revealed that operators may perform fewer ventriculography and RHC procedures when using radial access as compared to femoral access. While there is discrepancy in performing left ventriculography and RHC when using a radial artery, it is essential to emphasize that routinely performing ventriculography and hemodynamic assessment has not proven to impact outcomes, despite their contributions to proper decision-making and treatment. Copyright © 2024. Published by Elsevier Inc.
520			_aMETHODS: We conducted a retrospective analysis of patients who underwent PCI due to ST-elevation myocardial infarction (STEMI), non-ST-elevation acute coronary syndrome (NSTE-ACS), and chest pain (stable angina) from November 2013 to February 2023.
520			_aRESULTS: We analyzed validated registries and found 7714 PCIs. Of these, 1230 were STEMI patients, 5585 were NSTE-ACS patients, and 899 were stable angina patients, forming the basis of our final analysis. In STEMI patients, there was a trend toward a higher rate of ventriculography with femoral access compared to radial access (53.4 % vs. 47.5 %, p = 0.06), which was also observed in NSTE-ACS patients (34.2 % vs. 31.8 %, p = 0.07). The use of central venous access was more common with femoral access in all three diagnoses, with significantly higher rates seen in STEMI patients (36.2 % vs. 7.6 %, p < 0.001), NSTE-ACS patients (19.3 % vs. 2.8 %, p < 0.001), and chest pain patients (26.4 % vs. 2.7 %, p < 0.001).
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
650			_zAutomated
651			_aMedStar Heart & Vascular Institute
651			_aMedStar Washington Hospital Center
656			_aAdvanced Cardiac Catheterization Research Fellowship
657			_aLetter
700			_aBen-Dor, Itsik _bMHVI
700			_aBhogal, Sukhdeep _bMHVI
700			_aCase, Brian C _bMHVI
700			_aCellamare, Matteo _bMHVI
700			_aMerdler, Ilan _bMHVI
700			_aReddy, Pavan _bMWHC _cAdvanced Cardiac Catheterization Research Fellowship _dMD
700			_aWaksman, Ron _bMHVI
700			_aZhang, Cheng _bMHVI
790			_aMerdler I, Case BC, Cellamare M, Bhogal S, Reddy PK, Zhang C, Ben-Dor I, Waksman R
856			_uhttps://dx.doi.org/10.1016/j.carrev.2024.04.021 _zhttps://dx.doi.org/10.1016/j.carrev.2024.04.021
942			_cART _dArticle
999			_c14446 _d14446