桡动脉
医学
心肌梗塞
心脏病学
冠状动脉疾病
内科学
闭塞
血运重建
冲程(发动机)
不利影响
比例危险模型
动脉
外科
机械工程
工程类
作者
Andrea Pacchioni,Gabriele Pesarini,Jorge Sanz‐Sánchez,Gregory A Sgueglia,Michele Bellamoli,Jayme Ferro,Antonio Mugnolo,Riccardo Morandin,Carlo Penzo,Riccardo Turri,Vincenzo Guiducci,Giovanni Benfari,Davide Giovannini,Salvatore Saccà,Flavio Ribichini,Francesco Versaci,Giuseppe Biondi‐Zoccai,Bernhard Reimers
出处
期刊:Minerva cardiology and angiology
[Edizioni Minerva Medica]
日期:2023-07-01
卷期号:71 (4)
标识
DOI:10.23736/s2724-5683.22.06112-9
摘要
BACKGROUND: Radial artery occlusion after transradial procedures is a frequent iatrogenic thrombotic process. The impact on prognosis has not been investigated. This study sought to investigate whether radial artery occlusion is related to increased risk of major adverse cardiac and cerebrovascular events, defined as death, myocardial infarction, stroke and coronary revascularization.METHODS: Eight hundred thirty-seven consecutive patients who underwent a transradial coronary procedure had patency of radial artery checked at 24 hours. Radial artery occlusion occurred in 41 over 837 patients (4.8%); 764 (91.2%) were available for planned follow-up at 1 year and were included in the analysis. Event-free survival rate between patients with and without radial artery occlusion was calculated using Kaplan-Meier estimates, and Cox proportional-hazards models were used to identify independent risk factors.RESULTS: At a median 370-day follow-up (IQR: 366-375 days), adverse events occurred in 37 patients (4.8%), 2 in patients with radial artery occlusion and 35 in patients without. One-year survival rate was 94.9% vs. 95% (unadjusted HR=1.026, 95% CI: 0.24 to 4.6, P=0.9). After multivariable modeling, age and coronary artery disease extension was associated with increased risk of adverse events.CONCLUSIONS: Age and coronary artery disease extension were independent predictors of adverse events at follow-up. RAO had no prognostic impact.
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