허혈성 심질환 환자에서 경요골동맥과 경대퇴동맥 경피적 관상동맥중재술 간의 효능과 안전 비교Comparison of the Efficacy and Safety between Transradial and Transfemoral Percutaneous Coronary Intervention in Patients with Ischemic Heart Disease
- Other Titles
- Comparison of the Efficacy and Safety between Transradial and Transfemoral Percutaneous Coronary Intervention in Patients with Ischemic Heart Disease
- Authors
- 공민규; 주혜영; 염석천; 추진우; 서대철; 문인기; 김진녕; 정호은; 조윤주; 박병원; 정진욱; 방덕원; 현민수
- Issue Date
- 2012
- Publisher
- 순천향의학연구소
- Keywords
- Radial artery; Femoral artery; Coronary artery disease; Complications
- Citation
- Soonchunhyang Medical Science, v.18, no.2, pp 81 - 84
- Pages
- 4
- Journal Title
- Soonchunhyang Medical Science
- Volume
- 18
- Number
- 2
- Start Page
- 81
- End Page
- 84
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/15489
- ISSN
- 2233-4289
- Abstract
- Objective: The aim of this study was to evaluate the efficacy and safety of transradial percutaneous coronary intervention (TRI) compared with transfemoral percutaneous coronary intervention (TFI) in patients with ischemic heart disease.
Methods: We reviewed retrospectively the medical records including imaging data of the patients with ischemic heart disease who underwent TRI or TFI from January 2007 to December 2009 in Soonchunhyang University Seoul Hospital. We compared major adverse cardiac and cerebrovascular events (MACCEs) including death, myocardial infarction, revascularization, stent thrombosis, and cerebrovascular accident during follow-up period. We also compared procedure related vascular complications including hematoma,arteriovenous fistula, pseudoaneurysm, and infection.
Results: Total number of patients was 347 (256 patients of TRI and 91 patients of TFI). There were no significant differences in the rate of MACCEs between two groups. There were significantly less procedure-related vascular complications in TRI group (3.1% vs.
11.0%, P=0.010).
Conclusion: TRI is as effective as TFI with no difference in the rate of MACCEs in patients with ischemic heart disease. TRI is superior to TFI in safety with reduction of vascular complications
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