1. Are neurologiccomplicationsfollowingpercutaneouscoronaryangiographyorintervention more common in transfemoral versus transradialapproach? Helena Tizón-Marcos, Gérald R. Barbeau, Jean-Pierre Déry, Jacques R. Rouleau, Louis Roy, OnilGleeton, Jean-RochBoudreault, Guy Proulx, Olivier F. Bertrand, Can Mahn Nguyen, Bernard Noël, JosepRodés-Cabau, Eric Larose, StéphaneRinfret and Robert Delarochellière. InstitutUniversitaire de Cardiologie et Pneumologie de Québec. Québec, Canada.
6. Are neurologiccomplicationsfollowing percutaneous coronaryangiographyorintervention more common in transfemoral versus transradialapproach? Factorsassociatedwith NC followingcoronaryangiographyorprocedureshavebeenwelldescribed. Transradialapproach has lowerhemorrhagic and vascular complicationratesbutitsvaluetolower NC followingdiagnosticcatheterizationor PCI has notbeenyetestablished. .
7. Are neurologiccomplicationsfollowing percutaneous coronaryangiographyorintervention more common in transfemoral versus transradialapproach? Objective Determine the incidence and different characteristics of neurologic complications following transradial and transfemoral approach.
8. Are neurologiccomplicationsfollowing percutaneous coronaryangiographyorintervention more common in transfemoral versus transradialapproach? Methods Retrospectivereview of allpatientswhounderwentcoronaryangiographyorinterventionbetweenApril 1990 and October 2007 at InstitutUniversitaire de Cardiologie et Pneumologie Québec. The complete chart of allpatientsdischargedwith a diagnostic of strokeortransientischemicattackwerereviewedextensively. All patients who experienced a per-procedural neurologic complication were included in the present analysis. Patients who developed neurological symptoms after by-pass surgery were excluded.
9.
10. Depending on variable distribution, Student’s t-test or Wilcoxon rank-sum test were used to assess differences in continuous variables.
29. Compared to transfemoral approach, transradial approach is associated with an unadjusted lower incidence of per-procedural NC.
30. Differences in NC rates may be explained by a higher rate of vein graft procedures in the transfemoral group or by routine heparin use in the transradial group.
31.
32. Factors predicting neurological complications following percutaneous coronary angiography and interventions in a large series of transfemoral and transradial approach Methods 83409 procedures from April 1990 to October 2007 63 patients with discharge diagnosis of: Stroke CVA TIA Visual disturbances Intracranial haemorrhage 83346 patients without discharge diagnosis of Neurological haemorrhage Control group of 254 patients matched by date of procedure.
Hinweis der Redaktion
Il y a un 2è abstractaccepté sur les facteursprédicteurs…
RR ofdeathifstrokeoccursrangingfrom 4.3 to 34. Inhospital mortality > 35% and 10-foldincreasemortality at one-year. Factorsassociatedwith Femoral NC Femalegender,age, peripheral vascular disease, extensive CAD, loverejectionfraction, veingraftintervention, IABP use, DM, HTA, Urgentprocedures, Use of GPI, Renal andHeartFailure.
RR ofdeathifstrokeoccursrangingfrom 4.3 to 34. Inhospital mortality > 35% and 10-foldincreasemortality at one-year.
RR ofdeathifstrokeoccursrangingfrom 4.3 to 34. Inhospital mortality > 35% and 10-foldincreasemortality at one-year. Factorsassociatedwith Femoral NC Femalegender,age, peripheral vascular disease, extensive CAD, loverejectionfraction, veingraftintervention, IABP use, DM, HTA, Urgentprocedures, Use of GPI, Renal andHeartFailure.
RR ofdeathifstrokeoccursrangingfrom 4.3 to 34. Inhospital mortality > 35% and 10-foldincreasemortality at one-year. Factorsassociatedwith Femoral NC Femalegender,age, peripheral vascular disease, extensive CAD, loverejectionfraction, veingraftintervention, IABP use, DM, HTA, Urgentprocedures, Use of GPI, Renal andHeartFailure.
Differentdefinitions in literatureforper-procedural CVA dependingonframe time.
Incidenceof NC remainedstablebelow 0.2%
Temporal trends in usingtransradialapproachthatbecamethemostusedapproach in 1996. Nowadaysitisused in about 93% ofallpatients.
JP4:Sont de nombres en “brut”…à quoi je dois les ajuster? Par ce que il y a un posteraussiacceptépourprésenter les facteurs? Est-ce que je doismettre le deux danscetteprésentation?
JP4:Sont de nombres en “brut”…à quoi je dois les ajuster? Par ce que il y a un posteraussiacceptépourprésenter les facteurs? Est-ce que je doismettre le deux danscetteprésentation?