Rotational atherectomy through the radial artery is associated with similar procedural success when compared with the transfemoral route.

Abstract:

OBJECTIVES:Rotational atherectomy (RA) has traditionally been carried out using 7 or 8 Fr guides through a transfemoral approach to allow for passage of 2.0 mm burrs or larger. With transradial percutaneous coronary intervention becoming more common, our aim was to investigate whether transradial RA would offer equivalent rates of procedural success when compared with transfemoral RA. METHODS:Using a prospective percutaneous coronary intervention registry, we identified all patients who had undergone RA at the University Health Network between January 2001 and December 2012 and compared those in whom the transfemoral approach had been used with those in whom the transradial approach had been used. RESULTS:A total of 119 patients were analyzed (67 femoral, 52 radial). Larger guides were used in the femoral group compared with the radial group (6.79 vs. 6.31 Fr, P<0.001), but there was no significant difference in the number of burrs used or the average size of the burrs. There was no significant difference in the procedural success rate (91 vs. 96%, P=0.46), fluoroscopy time (40.5 vs. 43.8 min, P=0.37), radiation dose (27743 vs. 29939 cGy cm, P=0.50), or contrast use (429 vs. 384 ml, P=0.19) between the two groups. Patients in the femoral group were more likely to have a transvenous pacing wire inserted (25 vs. 6%, P=0.006). Access site crossover tended to occur more frequently in the radial group (6 vs. 0%, P=0.08). CONCLUSION:We have shown that RA through the transradial route is associated with outcomes similar to those achieved through the transfemoral route. Keeping in mind the single-center context and the small number of operators, our data do not suggest an increased rate of failure of RA through the radial route despite the use of smaller guiding catheters.

journal_name

Coron Artery Dis

journal_title

Coronary artery disease

authors

Kotowycz MA,Khan SQ,Freixa X,Ivanov J,Seidelin PH,Overgaard CB,Džavík V

doi

10.1097/MCA.0000000000000198

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

254-8

issue

3

eissn

0954-6928

issn

1473-5830

journal_volume

26

pub_type

杂志文章
  • Plasma nuclear and mitochondrial DNA levels in acute myocardial infarction patients.

    abstract:OBJECTIVE:Plasma nuclear and mitochondrial DNA (mtDNA) levels are altered in many diseases. However, it is not known whether they are also altered in acute myocardial infarction (AMI). In the present study, we examined plasma nuclear and mtDNA levels in the patients with AMI before and after a percutaneous coronary int...

    journal_title:Coronary artery disease

    pub_type: 社论

    doi:10.1097/MCA.0000000000000231

    authors: Wang L,Xie L,Zhang Q,Cai X,Tang Y,Wang L,Hang T,Liu J,Gong J

    更新日期:2015-06-01 00:00:00

  • Acute right ventricular infarction: clinical spectrum, results of reperfusion therapy and short-term prognosis.

    abstract:BACKGROUND:The role of thrombolytic therapy (TT) and percutaneous coronary interventions (PCIs) in subgroups of patients with right ventricular infarction (RVI) has not been evaluated. METHODS AND RESULTS:We risk-stratified 302 patients with RVI into three subsets upon admission. Class A (n=197) comprised patients wit...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/00019501-200202000-00008

    authors: Lupi-Herrera E,Lasses LA,Cosio-Aranda J,Chuquiure-Valenzuela E,Martínez-Sánchez C,Ortiz P,González-Pacheco H,Juárez-Herrera U,Rodriguez Mdel C,Vargas-Barrón J,Martínez-Rios MA

    更新日期:2002-02-01 00:00:00

  • Repeat intervention for in-stent restenosis: re-expansion of the initial stent is a predictor of recurrence of restenosis.

    abstract:BACKGROUND:In-stent restenosis has become a significant clinical problem as use of stents has increased. The optimal strategy for dealing with in-stent restenosis needs to be evaluated. OBJECTIVE:To compare the acute and late results of interventions for in-stent restenosis according to the device used, and to analyze...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/00019501-200009000-00002

    authors: Ishikawa S,Asakura Y,Okabe T,Sakamoto M,Shibata M,Asakura K,Mitamura H,Ogawa S

    更新日期:2000-09-01 00:00:00

  • Coronary collateral blood-flow velocity improves with repeated coronary occlusions during angioplasty in patients with coronary artery disease and systemic hypertension.

    abstract:BACKGROUND:Cardiac hypertrophy is associated with numerous alterations in the coronary circulation. OBJECTIVE:To test the hypothesis that, during angioplasty, the coronary collateral blood flow during repetitive coronary occlusions increases more in hypertensives than it does in normotensives. METHODS:We studied 34 p...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/00019501-199705000-00004

    authors: Kyriakides ZS,Sbarouni E,Paraskevaidis IA,Giakoumakis T,Tsiapras D,Kremastinos DT

    更新日期:1997-05-01 00:00:00

  • Low-pressure deployment of stents: short- and long-term outcome.

    abstract::This study investigates a strategy of low-pressure stenting with concomitant anti-platelet treatment designed to prevent short- and long-term events after stenting. Ninety consecutive patients who underwent percutaneous transluminal coronary angioplasty with stenting using low-pressure stent deployment (mean 8.1 atmos...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/00019501-200106000-00007

    authors: Cafri C,Weinstein JM,Gilutz H,Kobal S,Ilia R

    更新日期:2001-06-01 00:00:00

  • Association of the serum apolipoprotein levels with the occurrence of coronary vasospasm.

    abstract:BACKGROUND:The relationship between the serum levels of atherosclerosis-related apolipoprotein (apo) and the risk of coronary spastic angina remains unknown. METHODS AND RESULTS:This study consists of 111 patients who were admitted to our facility with the chief complaint of chest pain, in whom coronary angiography sh...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/MCA.0b013e328341baa9

    authors: Tani S,Nagao K,Kawamorita T,Hirayama A

    更新日期:2011-05-01 00:00:00

  • Angiogenesis imaging in myocardial infarction using 68Ga-NOTA-RGD PET: characterization and application to therapeutic efficacy monitoring in rats.

    abstract:OBJECTIVE:Ga-NOTA-RGD PET is a newly developed molecular imaging for angiogenesis. In this study, Ga-NOTA-RGD PET was used to investigate imaging characteristics in a rat myocardial infarction (MI) model and to monitor the efficacy of an angiogenesis induction therapy. MATERIALS AND METHODS:Ga-NOTA-RGD PET was perform...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/MCA.0b013e3283608c32

    authors: Eo JS,Paeng JC,Lee S,Lee YS,Jeong JM,Kang KW,Chung JK,Lee DS

    更新日期:2013-06-01 00:00:00

  • Long-term coronary artery graft patency as evaluated by 64-slice coronary computed tomographic angiography.

    abstract:OBJECTIVE:Coronary artery bypass graft (CABG) surgery has been a mainstream surgical procedure for coronary artery disease for the past three decades. 64-Slice coronary computed tomographic angiography (CCTA) has been established as an accurate alternative to invasive coronary artery angiography for postoperative evalu...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/MCA.0b013e32834b830e

    authors: Levisman JM,Budoff MJ,Karlsberg RP

    更新日期:2011-12-01 00:00:00

  • Changes in coronary plaque morphology in patients with acute coronary syndrome versus stable angina pectoris after initiation of statin therapy.

    abstract:OBJECTIVES:The aim of this study was to examine coronary plaque morphology after initiation of statins and compare changes in plaque morphology in patients presenting with acute coronary syndrome (ACS) versus stable angina pectoris (SAP). BACKGROUND:ACS is associated with a pan-inflammatory state, and intraplaque feat...

    journal_title:Coronary artery disease

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MCA.0000000000000415

    authors: Gin AL,Vergallo R,Minami Y,Ong DS,Hou J,Jia H,Soeda T,Hu S,Zhang S,Lee H,Yu B,Jang IK

    更新日期:2016-12-01 00:00:00

  • Drug-coated balloon treatment for nonsmall de-novo coronary artery disease: angiographic and clinical outcomes.

    abstract:OBJECTIVES:Although drug-coated balloons (DCBs) are established for de-novo lesions in small coronary arteries, the impact of DCB treatment according to the reference vessel diameter (RVD) remains poorly defined. This study aimed to evaluate the angiographic and long-term clinical outcomes of DCB treatment for de-novo ...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/MCA.0000000000001006

    authors: Her AY,Yuan SL,Jun EJ,Bhak Y,Kim MH,Garg S,Kim YH,Kun L,Hui L,Zhi W,Hao J,Zhentao S,Qiang T,Shin ES

    更新日期:2021-01-18 00:00:00

  • Physical principles of magnetic resonance angiography.

    abstract::This review provides a brief introduction to the basic concepts of MRA techniques with specific discussions on imaging of coronary arteries. These techniques, especially those for imaging of coronary arteries, are still rapidly evolving. The goals of future research include obtaining faster imaging, higher SNR, and hi...

    journal_title:Coronary artery disease

    pub_type: 杂志文章,评审

    doi:10.1097/00019501-199905000-00002

    authors: Li D

    更新日期:1999-05-01 00:00:00

  • Risk factors and comorbidities in a community-wide sample of patients hospitalized with acute systolic or diastolic heart failure: the Worcester Heart Failure Study.

    abstract:OBJECTIVES:Few epidemiological studies have examined differences in the prevalence of risk factors and comorbidities in patients with systolic heart failure (HF), as compared with those with diastolic HF. METHODS:We analyzed data from 1426 residents of the Worcester (MA) metropolitan area hospitalized at all 11 greate...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/MCA.0b013e328334eb46

    authors: Chinali M,Joffe SW,Aurigemma GP,Makam R,Meyer TE,Goldberg RJ

    更新日期:2010-05-01 00:00:00

  • Atrial fibrillation, bleeding, and coronary intervention: current recommendations.

    abstract::The patient population with the need for oral anticoagulation to reduce stroke risk associated with atrial fibrillation (AF) and dual antiplatelet therapy to prevent stent thrombosis and myocardial infarction after percutaneous coronary intervention is increasing. However, patients treated with a triple therapy consis...

    journal_title:Coronary artery disease

    pub_type: 杂志文章,评审

    doi:10.1097/MCA.0000000000000549

    authors: Farhan S,Mehran R

    更新日期:2017-12-01 00:00:00

  • Effects of exercise training on mortality in patients with coronary heart disease.

    abstract::Endothelial dysfunction not only precedes the development of significant coronary artery stenosis, it has also been identified as a general phenomenon predicting future cardiovascular events in patients who are at risk. As regular physical activity as a part of a multifactorial intervention has been shown to affect sy...

    journal_title:Coronary artery disease

    pub_type: 杂志文章,评审

    doi:10.1097/00019501-200605000-00003

    authors: Erbs S,Linke A,Hambrecht R

    更新日期:2006-05-01 00:00:00

  • Plaque composition and morphologic characteristics in significant left main bifurcation disease; virtual histology intravascular ultrasound study.

    abstract:OBJECTIVES:Although the left main coronary artery (LMCA) is clinically the most important site, little is known about the longitudinal plaque distribution and composition in the significant LMCA disease. METHODS:Preprocedure virtual histology intravascular ultrasound data were analyzed in 120 patients with significant...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/MCA.0000000000000417

    authors: Chang M,Kang SJ,Yoon SH,Ahn JM,Park DW,Lee SW,Kim YH,Lee CW,Park SW,Nakazawa G,Mintz GS,Park SJ

    更新日期:2016-12-01 00:00:00

  • Plasminogen activator inhibitor-1 5G/5G genotype is associated with early spontaneous recanalization of the infarct-related artery in patients presenting with acute ST-elevation myocardial infarction.

    abstract:BACKGROUND:We aimed to examine the association between plasminogen activator inhibitor-1 (PAI-1) genetic polymorphism and early spontaneous recanalization in patients presenting with acute ST-elevation myocardial infarction. METHODS:Patients admitted to our emergency department with ST-elevation myocardial infarction ...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/MCA.0b013e32835d7633

    authors: Cagliyan CE,Yuregir OO,Balli M,Tekin K,Akilli RE,Bozdogan ST,Turkmen S,Deniz A,Baykan OA,Aslan H,Cayli M

    更新日期:2013-05-01 00:00:00

  • Psychosocial factors predict medical outcome following a first myocardial infarction. Working Group on Cardiac Rehabilitation of the Swiss Society of Cardiology.

    abstract:BACKGROUND:The aim of this study was to identify psychosocial variables that, in addition to known medical factors, predict the long-term outcome after a first myocardial infarction. PATIENTS AND METHODS:The study population consisted of 222 men aged 30-60 years who entered an inpatient rehabilitation program a mean o...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/00019501-199502000-00009

    authors: Hoffmann A,Pfiffner D,Hornung R,Niederhauser H

    更新日期:1995-02-01 00:00:00

  • Diurnal variation of the P-wave dispersion in chronic ischemic heart diseases.

    abstract:OBJECTIVE:Electrocardiographic indices like maximum P-wave duration (P(max)) and P-wave dispersion (PD) can be used to detect patients with atrial conduction disorders, myocardial ischemia and those at risk for atrial fibrillation. Considering the diurnal variation of ischemia in patients with significant coronary lesi...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/01.mca.0000236284.64059.be

    authors: Yíldírím N,Topaloglu S,Bozboga S,Ocal A,Saricam E

    更新日期:2006-12-01 00:00:00

  • Effects of an angiotensin-converting enzyme inhibitor (ramipril) on inflammatory markers in secondary prevention patients: RAICES Study.

    abstract:AIMS:To evaluate the hypothesis that angiotensin-converting enzyme inhibitor therapy with ramipril reduces baseline levels of C-reactive protein in patients at high cardiovascular risk. METHODS:Secondary prevention patients were screened for eligibility and treated with ramipril for 6 month. Baseline and 6-month highl...

    journal_title:Coronary artery disease

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1097/00019501-200510000-00002

    authors: Lopez Santi RG,Valeff EC,Duymovich CR,Mazziotta D,Mijailovsky NE,Filippa GC,Maltez R,Hernandez VA,Monroy AG,Borzi JG,Acheme RA,Etchegoyen MC,PROCORDIS investigators.

    更新日期:2005-11-01 00:00:00

  • The relation between ABO blood types and clinical and platelet function parameters in patients who underwent percutaneous coronary intervention.

    abstract:BACKGROUND:ABO blood groups have been associated with venous thromboembolism and arterial thrombosis. Although platelets play key roles in thrombogenesis, the relation between ABO groups and platelets is not well known and was investigated in this study. PATIENTS AND METHODS:ABO blood type information was retrospectiv...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/MCA.0000000000000676

    authors: Timur AA,Barnard J,Murugesan G,Gandhi S,Bhatt DL,Kottke-Marchant K

    更新日期:2019-01-01 00:00:00

  • Comparison of a low-molecular-weight heparin (nadroparin calcium) and unfractionated heparin as adjunct to coronary thrombolysis with alteplase and aspirin in dogs.

    abstract:BACKGROUND:Low-molecular-weight heparins may have a higher benefit to risk ratio than unfractionated heparin in preventing perioperative thrombosis. The antithrombotic effects of low-molecular-weight heparins, given as adjunctive therapy to alteplase and aspirin, have not previously been compared with those of unfracti...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:

    authors: Jun L,Arnout J,Vanhove P,Dol F,Lormeau JC,Herbert JM,Collen D,Van de Werf F

    更新日期:1995-03-01 00:00:00

  • Long-term clinical impact of polymer-free sirolimus-eluting stents in unselected patients.

    abstract:OBJECTIVES:The long-term clinical impact of polymer-free sirolimus-eluting stents (PF-SES) in unselected patients undergoing percutaneous coronary intervention (PCI) still remains poorly investigated. We studied the long-term clinical impact of PF-SES in a large cohort of unselected patients receiving PCI therapy at tw...

    journal_title:Coronary artery disease

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MCA.0000000000000378

    authors: Sinha N,Rai H,Cassese S,Kumar S,Kapoor A,Kastrati A

    更新日期:2016-08-01 00:00:00

  • Beneficial effect of HEPES buffer in repeated coronary reperfusion.

    abstract:BACKGROUND:We have demonstrated previously that, when repeated reperfusion is performed after reocclusion, there is a decrease in the amount of myocardial salvage, despite early reperfusion. Treatment with nisoldipine induced a beneficial effect by reduction of infarct size in this experimental model. OBJECTIVE:To stu...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/00019501-200003000-00013

    authors: Hammerman H,Ramadan R,Hir J,Moscovitz M

    更新日期:2000-03-01 00:00:00

  • Extracorporeal cardiac shock wave therapy improves left ventricular remodeling after acute myocardial infarction in pigs.

    abstract:OBJECTIVE:We have recently demonstrated that low-energy extracorporeal shock wave therapy improves chronic myocardial ischemia in pigs and humans. In this study, we examined whether our shock wave therapy is also effective at improving left ventricular remodeling after acute myocardial infarction in pigs. METHODS:Acut...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/MCA.0b013e328089f19b

    authors: Uwatoku T,Ito K,Abe K,Oi K,Hizume T,Sunagawa K,Shimokawa H

    更新日期:2007-08-01 00:00:00

  • Cancer-related deaths among different treatment options in chronic coronary artery disease: results of a 6-year follow-up of the MASS II study.

    abstract:INTRODUCTION:The primary end points of randomized clinical trials evaluating the outcome of therapeutic strategies for coronary artery disease (CAD) have included nonfatal acute myocardial infarction, the need for further revascularization, and overall mortality. Noncardiac causes of death may distort the interpretatio...

    journal_title:Coronary artery disease

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MCA.0b013e32834f112a

    authors: Vieira RD,Pereira AC,Lima EG,Garzillo CL,Rezende PC,Favarato D,Hueb AC,Gersh BJ,Ramires JA,Hueb W

    更新日期:2012-03-01 00:00:00

  • The surgical management of congenital coronary artery fistula.

    abstract:BACKGROUND:Congenital coronary artery fistula (CAF) is a very rare cardiovascular anomaly and only 400 cases have been reported. The purpose of this study was to analyse the experience of surgical treatments in CAF and evaluate the surgical indications, techniques and long-term results. METHODS:A retrospective study r...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/00019501-199412000-00006

    authors: Chen Y,Belboul A,Roberts D

    更新日期:1994-12-01 00:00:00

  • Clinical implications of circulating soluble Fas and Fas ligand in patients with acute myocardial infarction.

    abstract:BACKGROUND:Apoptotic cell death is the major form of myocardial damage produced by coronary ischemic events. OBJECTIVE:To assess whether circulating levels of soluble Fas (sFas), an inhibitor of apoptosis, and sFas ligand, an inducer of apoptosis, in patients with coronary artery disease are greater than normal. METH...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/00019501-199906000-00003

    authors: Ohtsuka T,Hamada M,Sasaki O,Suzuki M,Hara Y,Shigematsu Y,Ohtani T,Honda T,Hiwada K

    更新日期:1999-06-01 00:00:00

  • The diagnostic and prognostic value of tissue Doppler imaging during dobutamine stress echocardiography in end-stage renal disease.

    abstract:OBJECTIVE:To determine whether a quantitative measurement of peak systolic velocity (PSV) during dobutamine stress echocardiography (DSE) detects severe coronary artery disease (CAD) and predicts mortality in patients with end-stage renal disease. METHODS:One hundred and forty renal transplant candidates had DSE and c...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/MCA.0b013e32832ac5eb

    authors: Sharma R,Mehta RL,Brecker SJ,Gaze DC,Gregson H,Streather CP,Collinson PO,Pellerin D

    更新日期:2009-05-01 00:00:00

  • Multicenter AIDS Cohort Study Quantitative Coronary Plaque Progression Study: rationale and design.

    abstract:BACKGROUND AND AIM:The association of HIV with coronary atherosclerosis has been established; however, the progression of coronary atherosclerosis over time among participants with HIV is not well known. The Multicenter AIDS Cohort Study Quantitative Coronary Plaque Progression Study is a large prospective multicenter ...

    journal_title:Coronary artery disease

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MCA.0000000000000546

    authors: Nakanishi R,Post WS,Osawa K,Jayawardena E,Kim M,Sheidaee N,Nezarat N,Rahmani S,Kim N,Hathiramani N,Susarla S,Palella F,Witt M,Blaha MJ,Brown TT,Kingsley L,Haberlen SA,Dailing C,Budoff MJ

    更新日期:2018-01-01 00:00:00

  • The influence of six cardiovascular polymorphisms on a first event of ischemic heart disease is modified by sex and age.

    abstract:OBJECTIVE:To examine the contribution of six cardiovascular polymorphisms to the occurrence of a first event of ischemic heart disease (IHD) in a primary care population with a high prevalence of hypertension. Furthermore, we specified the data for sex and age. METHODS:In this cross sectional case-control study, patie...

    journal_title:Coronary artery disease

    pub_type: 杂志文章

    doi:10.1097/MCA.0b013e328330d541

    authors: Plat AW,Stoffers HE,de Leeuw PW,van Schayck CP,Soomers FL,Kester AD,Aretz K,Kroon AA

    更新日期:2009-12-01 00:00:00