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| Verfasst von: | Guedeney, Paul [VerfasserIn]  |
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| | Thiele, Holger [VerfasserIn] |
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| | Kerneis, Mathieu [VerfasserIn] |
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| | Barthelemy, Olivier [VerfasserIn] |
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| | Baumann, Stefan [VerfasserIn] |
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| | Sandri, Marcus [VerfasserIn] |
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| | de Waha-Thiele, Suzanne [VerfasserIn] |
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| | Fuernau, Georg [VerfasserIn] |
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| | Rouanet, Stephanie [VerfasserIn] |
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| | Piek, Jan J. [VerfasserIn] |
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| | Landmesser, Ulf [VerfasserIn] |
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| | Hauguel-Moreau, Marie [VerfasserIn] |
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| | Zeitouni, Michel [VerfasserIn] |
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| | Silvain, Johanne [VerfasserIn] |
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| | Lattuca, Benoit [VerfasserIn] |
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| | Windecker, Stephan [VerfasserIn] |
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| | Collet, Jean-Philippe [VerfasserIn] |
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| | Desch, Steffen [VerfasserIn] |
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| | Zeymer, Uwe [VerfasserIn] |
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| | Montalescot, Gilles [VerfasserIn] |
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| | Akın, Ibrahim [VerfasserIn] |
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| Titel: | Radial versus femoral artery access for percutaneous coronary artery intervention in patients with acute myocardial infarction and multivessel disease complicated by cardiogenic shock |
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| Titelzusatz: | subanalysis from the CULPRIT-SHOCK trial |
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| Verf.angabe: | Paul Guedeney, Holger Thiele, Mathieu Kerneis, Olivier Barthelemy, Stefan Baumann, Marcus Sandri, Suzanne de Waha-Thiele, Georg Fuernau, Stephanie Rouanet, Jan J. Piek, Ulf Landmesser, Marie Hauguel-Moreau, Michel Zeitouni, Johanne Silvain, Benoit Lattuca, Stephan Windecker, Jean-Philippe Collet, Steffen Desch, Uwe Zeymer, Gilles Montalescot, and Ibrahim Akin, on behalf of the CULPRIT-SHOCK Investigators |
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| E-Jahr: | 2020 |
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| Jahr: | 30 April 2020 |
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| Umfang: | 9 S. |
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| Teil: | volume:225 |
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| | year:2020 |
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| | month:07 |
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| | pages:60-68 |
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| | extent:9 |
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| Fussnoten: | Gesehen am 18.05.2021 |
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| Titel Quelle: | Enthalten in: American heart journal |
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| Ort Quelle: | Amsterdam [u.a.] : Elsevier, 1925 |
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| Jahr Quelle: | 2020 |
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| Band/Heft Quelle: | 225(2020) vom: Juli, Seite 60-68 |
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| ISSN Quelle: | 1097-6744 |
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| Abstract: | Background The use and impact of transradial artery access (IRA) compared to transfemoral artery access (TFA) in patients undergoing percutaneous coronary intervention (PCI) for acute myocardial infarction (MI) complicated by cardiogenic shock (CS) remain unclear. Methods This is a post hoc analysis of the CULPRIT-SHOCK trial where patients presenting with MI and multivessel disease complicated by CS were randomized to a strategy of culprit-lesion-only or immediate multivessel PCI. Arterial access was left at operator's discretion. Adjudicated outcomes of interest were the composite of death or renal replacement therapy (RRT) at 30 days and 1 year. Multivariate logistic models were used to assess the association between the arterial access and outcomes. Results Among the 673 analyzed patients, TRA and TFA were successfully performed in 118 (17.5%) and 555 (82.5%) patients, respectively. Compared to TFA, TRA was associated with a lower 30-day rate of death or RRT (37.3% vs 53.2%, adjusted odds ratio [aOR]: 0.57; 95% confidence interval [CI] 0.34-0.96), a lower 30-day rate of death (34.7% vs 49.7%; aOR: 0.56; 95% CI 0.33-0.96), and a lower 30-day rate of RRT (5.9% vs 15.9%; aOR: 0.40; 95% CI 0 16-0 97). No significant differences were observed regarding the 30-day risks of type 3 or 5 Bleeding Academic Research Consortium bleeding and stroke. The observed reduction of death or RRT and death with TRA was no longer significant at 1 year(4.4.9% vs 57.8%; aOR: 0.85; 95% CI 0.50-1.45 and 42.4% vs 55.5%, aOR: 0.78; 95% CI 0.46 132, respectively). Conclusions In patients undergoing PCI for acute MI complicated by CS, TRA may be associated with improved early outcomes, although the reason for this finding needs further research. |
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| DOI: | doi:10.1016/j.ahj.2020.04.014 |
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| URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1016/j.ahj.2020.04.014 |
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| | DOI: https://doi.org/10.1016/j.ahj.2020.04.014 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| Sach-SW: | acute kidney injury |
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| | impact |
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| | management |
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| | metaanalysis |
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| | outcomes |
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| | prasugrel |
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| | risk |
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| | site |
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| | society |
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| | st-segment elevation |
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| K10plus-PPN: | 1758076666 |
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| Verknüpfungen: | → Zeitschrift |
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Radial versus femoral artery access for percutaneous coronary artery intervention in patients with acute myocardial infarction and multivessel disease complicated by cardiogenic shock / Guedeney, Paul [VerfasserIn]; 30 April 2020 (Online-Ressource)
