Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/16209
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dc.contributor.authorAsrar Ul Haq, Muhammad-
dc.contributor.authorTsay, It Meng-
dc.contributor.authorDinh, Diem T-
dc.contributor.authorBrennan, Angela L-
dc.contributor.authorClark, David J-
dc.contributor.authorCox, Nicholas-
dc.contributor.authorHarper, Richard-
dc.contributor.authorNadurata, Voltaire-
dc.contributor.authorAndrianopoulos, Nick-
dc.contributor.authorReid, Christopher M-
dc.contributor.authorDuffy, Stephen J-
dc.contributor.authorLefkovits, Jeffrey-
dc.contributor.authorvan Gaal, William J-
dc.date2016-06-28-
dc.date.accessioned2016-09-09T01:50:09Z-
dc.date.available2016-09-09T01:50:09Z-
dc.date.issued2016-10-15-
dc.identifier.citationInternational Journal of Cardiology 2016; 221: 264-268en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/16209-
dc.description.abstractBACKGROUND: Trans-radial access for percutaneous coronary intervention (PCI) has been associated with lower vascular complication rates and improved outcomes. We assessed the current uptake of trans-radial PCI in Victoria, Australia, and evaluated if patients were selected according to baseline bleeding risk in contemporary clinical practise, and compared selected clinical outcomes. METHODS: PCI data of all patients between 1st January 2013 and 31st December 2014 were analysed using The Victorian Cardiac Outcomes Registry (VCOR). Propensity-matched analysis was performed to compare the clinical outcomes. RESULTS: 11,711 procedures were analysed. The femoral route was the predominant access site (66%). Patients undergoing trans-radial access PCI were younger (63.9±11.6 vs. 67.2±11.8; p<0.001), had a higher BMI (28.9±5.5 vs. 28.5±5.2; p<0.001), more likely to be male (80.0 vs. 74.9%;p<0.001), less likely to have presented with cardiogenic shock (0.9 vs. 2.8%; p<0.001) or have the following comorbidities: diabetes (19.8 vs. 23.1%; p<0.001), peripheral vascular disease (2.9 vs. 4.3%; p=0.005) or renal impairment (13.6 vs. 22.1%; p<0.001). The radial group had less bleeding events (3.2 vs. 4.6%; p<0.001) and shorter hospital length of stay (3.1±4.7 vs. 3.3±3.9; p=0.006). There was no significant difference in mortality (1.0 vs. 1.4%; p=0.095). CONCLUSIONS: Trans-femoral approach remains the dominant access site for PCI in Victoria. The choice of route does not appear to be selected by consideration of bleeding risk. The radial route is associated with improved clinical outcomes of reduced bleeding and length of stay consistent with previous findings, and this supports the efficacy and safety of trans-radial PCI in real-world clinical practise.en_US
dc.subjectFemoral accessen_US
dc.subjectPercutaneous coronary interventionen_US
dc.subjectTrans radial accessen_US
dc.titlePrevalence and outcomes of trans-radial access for percutaneous coronary intervention in contemporary practiseen_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleInternational Journal of Cardiologyen_US
dc.identifier.affiliationDepartment of Cardiology, Northern Hospital, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Medicine, The University of Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Cardiology, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Medicine, Melbourne Medical School - Western Precinct, The University of Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationCardiology Unit, Western Health, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Cardiology, Monash Health, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Cardiology, Bendigo Hospital, Bendigo, Victoria, Australiaen_US
dc.identifier.affiliationCardiology General Services, The Alfred Hospital, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationSchool of Public Health, Curtin University, Perth, Western Australia, Australiaen_US
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/27404687en_US
dc.identifier.doi10.1016/j.ijcard.2016.06.099en_US
dc.type.contentTexten_US
dc.type.austinJournal Articleen_US
local.name.researcherClark, David J
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.openairetypeJournal Article-
crisitem.author.deptCardiology-
crisitem.author.deptUniversity of Melbourne Clinical School-
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