Comparison of Clinical Outcomes: Bivalirudin With Transfemoral Versus Heparin With Transradial in Patients With St Segment Elevation Myocardial Infarction

Mallidi, Jaya; Shakoor, Muhammad Tariq; Garb, Jane; Fisher, Daniel; Barringhaus, Kurt G.; Lotfi, Amir

doi:10.1016/s0735-1097(17)34579-5

Cited by 2 publications

(3 citation statements)

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“…50 However, in a large RCT and a retrospective analysis, there was no difference in the primary outcome, including mortality, among patients undergoing primary PCI between radial and femoral access. 51,52 In the setting of OHCA, especially if there is concomitant shock, traditionally the femoral access site has been preferred-due to F I G U R E 1 Algorithm of clinical factors available to aid in decision-making along the continuum of care of patients with out-of-hospital cardiac arrest [Color figure can be viewed at wileyonlinelibrary.com]…”

Section: Vascular Accessmentioning

confidence: 99%

“…Radial access is associated with reduced risk of bleeding complications compared with femoral access among patients undergoing PCI for ACS 50 . However, in a large RCT and a retrospective analysis, there was no difference in the primary outcome, including mortality, among patients undergoing primary PCI between radial and femoral access 51,52 . In the setting of OHCA, especially if there is concomitant shock, traditionally the femoral access site has been preferred—due to concerns of vasospasm, increasing procedural time to reperfusion and convenience of restricting the working field to groin area if hemodynamic support is required.…”

Section: Access and Peri‐procedural Antithombotic Therapy During Pci mentioning

confidence: 99%

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SCAI expert consensus statement on out of hospital cardiac arrest

Lotfi

Klein

Hira

et al. 2020

Cathet Cardio Intervent

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Section: Vascular Accessmentioning

confidence: 99%

Section: Access and Peri‐procedural Antithombotic Therapy During Pci mentioning

confidence: 99%

SCAI expert consensus statement on out of hospital cardiac arrest

Lotfi

Klein

Hira

et al. 2020

Cathet Cardio Intervent

Self Cite

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“…Regarding the access site of the procedure, despite the theoretical advantages of the radial, excellent results have also been reported with the transfemoral approach [3]. Notably, in patients undergoing primary PCI without cardiogenic shock who are treated with bivalirudin (as in our case), the differences in mortality or bleeding rates related to the access site are negligible [12]. Bivalirubin, a direct thrombin inhibitor, was used as an alternative to heparin since it is the only agent proved to be safe in cases with thrombocytopenia [13].…”

Section: Discussionmentioning

confidence: 62%

Recurrent Acute Coronary Syndromes in a Patient with Idiopathic Thrombocytopenic Purpura

Iakovis

Xanthopoulos

Chamaidi

et al. 2020

Case Reports in Cardiology

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A 53-year-old man was admitted to a peripheral hospital with the diagnosis of acute myocardial infarction without ST elevation. Due to the concomitant presence of first-diagnosed thrombocytopenia (platelet count 50.000/μL), it was decided to be treated conservatively with clopidogrel. Five days later, he developed an acute myocardial infarction with ST elevation (STEMI) and was transferred to our department for primary percutaneous coronary intervention (PCI). Coronary angiography revealed threevessel disease. The left anterior descending lesion was considered culprit, and PCI was successfully performed using a drugeluting balloon. This approach was considered safer due to the risk of intolerance of prolonged dual antiplatelet therapy in case of stent implantation. Indeed, four days later, aspirin was discontinued, and the patient remained only on clopidogrel due to a platelet fall. Meanwhile, idiopathic thrombocytopenic purpura (ITP) was diagnosed by hematology consultation, and specific ITP treatment was initiated. Seven days following the procedure, the patient was transferred to the Hematology clinic, where a continuous rise of platelet count up to 115.000/μL while on clopidogrel was observed, and he was discharged from the hospital asymptomatic. Unfortunately, twenty days later, the patient died of a lung infection. In ITP patients with STEMI, primary PCI with drug-eluting balloon angioplasty may be a reasonable approach.

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Comparison of Clinical Outcomes: Bivalirudin With Transfemoral Versus Heparin With Transradial in Patients With St Segment Elevation Myocardial Infarction

Cited by 2 publications

References 0 publications

SCAI expert consensus statement on out of hospital cardiac arrest

SCAI expert consensus statement on out of hospital cardiac arrest

Recurrent Acute Coronary Syndromes in a Patient with Idiopathic Thrombocytopenic Purpura

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