作者
Michael Megaly, Aris Karatasakis, Bishoy Abraham, Joseph Jensen, Marwan Saad, Mohamed Omer, Ayman Elbadawi, Yader Sandoval, Mehdi H Shishehbor, Subhash Banerjee, Khaldoon Alaswad, Stephane Rinfret, M Nicholas Burke, Emmanouil S Brilakis
发表日期
2019/6
来源
Circulation: Cardiovascular Interventions
卷号
12
期号
6
页码范围
e007778
出版商
Lippincott Williams & Wilkins
简介
Background
Radial access (RA) is increasingly used in chronic total occlusion (CTO) percutaneous coronary intervention with encouraging results. However, there are concerns about its safety and efficacy because of higher complexity and the need for strong guide catheter support.
Methods and Results
We performed a systematic review and meta-analysis of all studies published through November 2018 reporting the outcomes of RA versus femoral access in CTO percutaneous coronary intervention. Outcomes included major bleeding, access-site complications, in-hospital major adverse events, and technical success. Nine observational studies with 10 590 patients (10 617 lesions) were included in the meta-analysis. CTO lesions attempted using RA had lower Japan-CTO score (2.3±1.2 versus 2.5±1.3; P<0.001). Use of RA was associated with similar technical success (78.7% versus 78.5%; odds ratio, 1.11 …
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