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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Interv+Cardiol
2016 ; 11
(2
): 88-92
Nephropedia Template TP
gab.com Text
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English Wikipedia
Transradial Approach in Primary Percutaneous Coronary Intervention: Lessons from
a High-volume Centre
#MMPMID29588712
Piers LH
; Vink MA
; Amoroso G
Interv Cardiol
2016[Oct]; 11
(2
): 88-92
PMID29588712
show ga
The transradial approach (TRA) is the recommended technique for percutaneous
coronary intervention (PCI) in acute coronary syndrome, according to the European
Society of Cardiology guidelines. There is a large body of evidence showing
reduction in bleeding and mortality when the TRA is used. The TRA is also more
convenient for patients, by allowing early mobilisation. Finally, by facilitating
patient turnover and fast (re)transfer after the procedure, the TRA enables
operators to meet the current recommendations of early invasive therapy in both
ST and non-ST-elevation myocardial infarction. On the other hand, the TRA is
technically more challenging than the transfemoral approach (TFA) and requires
longer learning curve, which hinders its uptake by low-volume operators/centres.
Nevertheless, in the hands of experienced high-volume operators, such as at Onze
Lieve Vrouwe Gasthuis (OLVG) Amsterdam, the TRA achieves comparable procedural
outcomes and favourable clinical results compared with the TFA, as it is in cases
of primary PCI.