1. Inicio
  2. Publicaciones
  3. Simultaneous Radial and Ipsilateral Ulnar Artery Compression versus Isolated Radial Artery Compression after Conventional Radial Access for Coronary Angiography and/or Intervention: A Systematic Review and Meta-Analysis.

Simultaneous Radial and Ipsilateral Ulnar Artery Compression versus Isolated Radial Artery Compression after Conventional Radial Access for Coronary Angiography and/or Intervention: A Systematic Review and Meta-Analysis.

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Condello, Francesco
  • Cacia, Michele
  • Sturla, Matteo
  • Terzi, Riccardo
  • Reimers, Bernhard
  • Gasparini, Gabriele L.
  • Pagnotta, Paolo
  • Sorrentino, Sabato
  • Spaccarotella, Carmen
  • Indolfi, Ciro
  • Polimeni, Alberto

Grupos

Abstract

Background: Simultaneous ulnar and radial artery compression (SURC) has emerged as a strategy to increase radial artery flow and mitigate radial artery occlusion (RAO) while achieving adequate hemostasis after transradial access (TRA), though its technical adoption has been limited worldwide. Methods: A systematic search of studies comparing SURC versus isolated radial artery compression after TRA for coronary angiography and/or intervention was performed. Data were pooled by meta-analysis using random-effects models. Odds ratios (OR) with relative 95% confidence intervals (CI) and standardized mean difference were used as measures of effect estimates. The primary endpoint was the occurrence of overall RAO. Results: A total of 6 studies and 6793 patients were included. SURC method as compared to isolated radial artery compression was associated with a lower risk of RAO both overall (OR 0.29; 95% CI, 0.13-0.61, p < 0.001; number needed to treat to benefit [NNTB] =38) and in-hospital (OR 0.28; 95% CI: 0.10 to 0.75; p = 0.01, NNTB = 36), with a reduced risk of unsuccessful patent hemostasis (OR: 0.13; 95% CI: 0.02 to 0.85; p = 0.03, NNT = 5) and upper extremity pain (OR: 0.48; 95% CI: 0.24 to 0.95; p = 0.04, NNTB = 124). No significant difference was observed in hemostasis time and in the risk of hematoma. Conclusion: Compared to isolated radial artery compression, SURC is associated with lower risk of RAO, unsuccessful patent hemostasis, and reported upper limb pain, without any trade-off in safety outcomes. With further development of dedicated dual compression devices, the proposed technique should be freed from usage constraints.

Datos de la publicación

ISSN/ISSNe:
2077-0383, 2077-0383

Journal of clinical medicine  MDPI AG

Tipo:
Article
Páginas:
-
Factor de Impacto:
1,040 SCImago ℠
Cuartil:
Q1 SCImago ℠

Documentos

  • No hay documentos

Métricas

Filiaciones mostrar / ocultar

Keywords

  • radial access; radial artery occlusion; hemostasis; coronary angiography; percutaneous coronary intervention

Campos de estudio

Proyectos asociados

MECANISMOS DE ENFERMEDAD EN LA MIOCARDIOPATIA ARRITMOGENICA, MEJORAS EN SU DIAGNOSTICO Y BUSQUEDA DE DIANAS TERAPEUTICAS.

Investigador Principal: ESTHER ZORIO GRIMA

PI14/01477 . INSTITUTO DE SALUD CARLOS III . 2015

INCORPORACIÓN GRUPOS CIBER. DR. DOLZ

Investigador Principal: LUIS VICENTE MARTÍNEZ DOLZ

CB16/11/00261 . INSTITUTO DE SALUD CARLOS III . 2017

ESTUDIO MULTICÉNTRICO, ALEATORIZADO, DOBLE CIEGO, BASADO EN EVENTOS, QUE COMPARA LA EFICACIA Y SEGURIDAD DE RIVAROXABAN CON PLACEBO EN LA REDUCCIÓN DEL RIESGO DE MUERTE, INFARTO DE MIOCARDIO O ICTUS, EN PACIENTES CON INSUFICIENCIA CARDIACA Y ENFERMEDAD ARTERIAL CORONARIA SIGNIFICATIVA TRAS UN EPISODIO DE INSUFICIENCIA CARDIACA DESCOMPENSADA.

Investigador Principal: LUIS ALMENAR BONET

RIVAROXHFA3001/BAY59-7939/16302 . 2013

EVALUACIÓN, EN PACIENTES CON PROCESOS MÉDICOS, DE RIVAROXABAN FRENTE A PLACEBO EN LA REDUCCIÓN DEL RIESGO DE TROMBOEMBOLISMO VENOSO DESPUÉS DEL ALTA HOSPITALARIA. (MARINER).

Investigador Principal: JOSÉ ANTONIO TODOLÍ PARRA

RIVAROXDVT3002/BAY59-7939/17261

Ensayo clínico aleatorizado para evaluar el efecto de los betabloqueantes y los antiagregantes plaquetarios en pacientes con disección espontánea de la arteria coronaria.

Investigador Principal: JOSÉ LUIS DÍEZ GIL

BA-SCAD . 2021

ASSESSING THE EFFECT OF DAPAGLIFOZIN ON PLAQUE PROGRESSION IN PATIENTS UNDERGOING TRANSCATHETER AORTIC VALVE IMPLANTATION DAPA-PLACA.

Investigador Principal: JORGE SANZ SÁNCHEZ

DAPA-PLACA . 2021

Uninterrupted direct-acting oral anticoagulation in patients undergoing transradial percutaneous coronary procedures. DOAC-NOSTOP.

Investigador Principal: JORGE SANZ SÁNCHEZ

DOAC-NOSTOP . 2021

COMBINEd Ischemia and Vulnerable Plaque Percutaneous INTERVENtion to Reduce Cardiovascular Events COMBINE-INTERVENE Trial.

Investigador Principal: JORGE SANZ SÁNCHEZ

9357 . 2023

Cita

Compartir