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논문번호 196
논문제목(영문) Transradial versus transfemoral intervention in ST-segment elevation myocardial infarction patients in Korean population
국내외구분 국외 SCI여부 SCI(E)
연구책임자역할 공저자
주저자명 Li H
교신저자명 Rha SW
공동저자명 Li H, Rha SW, Choi BG, Shim MS, Choi SY, Choi CU, Kim EJ, Oh DJ, Cho BR, Kim MH, Kim DI, Jeong MH, Yoo SY, Jeong SS, Kim BO, Hyun MS, Youn YJ, Yoon J
게제년월일 2017-07-07
ISSN 1226-3303
Impact Factor 1.729
학술지명 The Korean journal of internal medicine
서지사항 0집 / 0권 / 0호,   페이지(0 - 0)
요약초록문
(Abstract) 입력		 BACKGROUND/AIMS:
Transradial intervention (TRI) is becoming the preferred method over transfemoral intervention (TFI) because TRI is associated with lower incidence of major bleeding and vascular complications. However, there has been limited published data regarding the clinical outcomes of TRI versus TFI in Korean patients with ST-elevation myocardial infarction (STEMI).

METHODS:
A total of 689 consecutive STEMI patients who underwent primary percutaneous coronary intervention (PCI) with drug-eluting stents (DESs) from January to December of 2009 at nine university hospitals were enrolled in this study. Mid-term angiographic and 12-month cumulative clinical outcomes of the TRI group (n = 220, 31.9%) were compared to those of the TFI group (n = 469, 28.1%).

RESULTS:
After propensity score matching, in-hospital complications and the 12-month major clinical outcomes during follow-up in the two groups were similar to each other. However, the incidence rates of repeat revascularization (6.4% vs. 0.5%, p = 0.003), target vessel revascularization (6.4% vs. 0.5%, p = 0.003), and major adverse cardiac events (MACE; 11.6% vs. 4.6%, p = 0.018) in the TFI group were higher than those in the TRI group during the 12-month of follow-up.

CONCLUSIONS:
In our study, TRI in STEMI patients undergoing primary PCI with DESs was associated with lower incidence of access site hematoma, 12-month repeat revascularization, and MACE compared to TFI. Therefore, TRI might play an important role in reducing bleeding complications while improving major clinical outcomes in STEMI patients undergoing primary PCI with DESs.
파일  C-196 Transradial versus transfemoral intervention in ST-segment elevation myocardial infarction patients in Korean population.pdf (435.2K) DATE : 2018-05-28 14:10:20