Systematic Review and Cost–Benefit Analysis of Radial Artery Access for Coronary Angiography and Intervention
作者： Matthew D. Mitchell , Jaekyoung A. Hong , Bruce Y. Lee , Craig A. Umscheid , Sarah M. Bartsch
DOI: 10.1161/CIRCOUTCOMES.112.965269
关键词: Hemostasis 、 Surgery 、 Medicine 、 Meta-analysis 、 Radial artery 、 Angioplasty 、 Cardiac catheterization 、 Femoral artery 、 Randomized controlled trial 、 Heart catheterization
摘要: Background—Radial artery access for coronary angiography and interventions has been promoted reducing hemostasis time vascular complications compared with femoral access, yet it can take longer to perform is not always successful, leading concerns about its cost. We report a cost–benefit analysis of radial catheterization based on results from systematic review published randomized controlled trials. Methods Results—The added 5 additional trials prior review, total 14 studies. Meta-analyses, following Cochrane procedures, suggested that significantly increased failure (OR, 4.92; 95% CI, 2.69–8.98), but reduced major 0.32; 0.24–0.42), bleeding 0.39; 0.27–0.57), hematoma 0.36; 0.27–0.48) catheterization. It approximately 1.4 minutes procedure (95% −0.22 2.97) b...
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