Accession Site Does Not Influence the Risk of Stroke after
Diagnostic Coronary Angiography or Intervention: Results from a
Large Prospective Registry

J 2021

Accession Site Does Not Influence the Risk of Stroke after Diagnostic Coronary Angiography or Intervention: Results from a Large Prospective Registry

MATEJKA, J., I. VARVAROVSKY, J. TUZIL, Tomáš DOLEŽAL, Martin BOBÁK et. al.

Basic information

Original name

Accession Site Does Not Influence the Risk of Stroke after Diagnostic Coronary Angiography or Intervention: Results from a Large Prospective Registry

Authors

MATEJKA, J. (203 Czech Republic, guarantor), I. VARVAROVSKY (203 Czech Republic), J. TUZIL (203 Czech Republic), Tomáš DOLEŽAL (203 Czech Republic, belonging to the institution), Martin BOBÁK (203 Czech Republic), J. POSPICHAL (203 Czech Republic), P. GEIER (203 Czech Republic), J. VONDRAK (203 Czech Republic), K. BLAHA (203 Czech Republic), J. MALEK (203 Czech Republic), A. STANKOVA (203 Czech Republic), J. BUJDAK (203 Czech Republic), V. ROZSIVAL (203 Czech Republic), V. NOVOTNY (203 Czech Republic), T. LAZARAK (203 Czech Republic), M. PLIVA (203 Czech Republic), J. ERA (203 Czech Republic) and P. VOJTISEK (203 Czech Republic)

Edition

CEREBROVASCULAR DISEASES EXTRA, BASEL, KARGER, 2021, 1664-5456

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

RIV identification code

RIV/00216224:14110/21:00124180

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1159/000519539

UT WoS

000744870200007

Keywords in English

Stroke; Transient ischemic attack; Cardiac catheterization; Femoral access; Radial access

Abstract

V originále

Introduction: Periprocedural stroke represents a rare but serious complication of cardiac catheterization. Pooled data from randomized trials evaluating the risk of stroke following cardiac catheterization via transradial versus transfemoral access showed no difference. On the other hand, a significant difference in stroke rates favoring transradial access was found in a recent meta-analysis of observational studies. Our aim was to determine if there is a difference in stroke risk after transradial versus transfemoral catheterization within a contemporary real-world registry. Methods: Data from 14,139 patients included in a single-center prospective registry between 2009 and 2016 were used to determine the odds of periprocedural transient ischemic attack (TIA) and stroke for radial versus femoral catheterization via multivariate logistic regression with Firth's correction. Results: A total of 10,931 patients underwent transradial and 3,208 underwent transfemoral catheterization. Periprocedural TIA/stroke occurred in 41 (0.29%) patients. Age was the only significant predictor of TIA/stroke in multivariate analysis, with each additional year representing an odds ratio (OR) = 1.09 (CI 1.05-1.13, p < 0.000). The choice of accession site had no impact on the risk of periprocedural TIA/stroke (OR = 0.81; CI 0.38-1.72, p = 0.577). Conclusion: Observational data from a large prospective registry indicate that accession site has no influence on the risk of periprocedural TIA/stroke after cardiac catheterization.

Citovat

MATEJKA, J., I. VARVAROVSKY, J. TUZIL, Tomáš DOLEŽAL, Martin BOBÁK, J. POSPICHAL, P. GEIER, J. VONDRAK, K. BLAHA, J. MALEK, A. STANKOVA, J. BUJDAK, V. ROZSIVAL, V. NOVOTNY, T. LAZARAK, M. PLIVA, J. ERA and P. VOJTISEK. Accession Site Does Not Influence the Risk of Stroke after Diagnostic Coronary Angiography or Intervention: Results from a Large Prospective Registry. CEREBROVASCULAR DISEASES EXTRA. BASEL: KARGER, 2021, vol. 11, No 3, p. 122-130. ISSN 1664-5456. Available from: https://dx.doi.org/10.1159/000519539.

@article{1834644,
   author = {Matejka, J. and Varvarovsky, I. and Tuzil, J. and Doležal, Tomáš and Bobák, Martin and Pospichal, J. and Geier, P. and Vondrak, J. and Blaha, K. and Malek, J. and Stankova, A. and Bujdak, J. and Rozsival, V. and Novotny, V. and Lazarak, T. and Pliva, M. and Era, J. and Vojtisek, P.},
   article_location = {BASEL},
   article_number = {3},
   doi = {http://dx.doi.org/10.1159/000519539},
   keywords = {Stroke; Transient ischemic attack; Cardiac catheterization; Femoral access; Radial access},
   language = {eng},
   issn = {1664-5456},
   journal = {CEREBROVASCULAR DISEASES EXTRA},
   title = {Accession Site Does Not Influence the Risk of Stroke after Diagnostic Coronary Angiography or Intervention: Results from a Large Prospective Registry},
   url = {https://www.karger.com/Article/FullText/519539},
   volume = {11},
   year = {2021}
}

TY  - JOUR
ID  - 1834644
AU  - Matejka, J. - Varvarovsky, I. - Tuzil, J. - Doležal, Tomáš - Bobák, Martin - Pospichal, J. - Geier, P. - Vondrak, J. - Blaha, K. - Malek, J. - Stankova, A. - Bujdak, J. - Rozsival, V. - Novotny, V. - Lazarak, T. - Pliva, M. - Era, J. - Vojtisek, P.
PY  - 2021
TI  - Accession Site Does Not Influence the Risk of Stroke after Diagnostic Coronary Angiography or Intervention: Results from a Large Prospective Registry
JF  - CEREBROVASCULAR DISEASES EXTRA
VL  - 11
IS  - 3
SP  - 122-130
EP  - 122-130
PB  - KARGER
SN  - 16645456
KW  - Stroke
KW  - Transient ischemic attack
KW  - Cardiac catheterization
KW  - Femoral access
KW  - Radial access
UR  - https://www.karger.com/Article/FullText/519539
N2  - Introduction: Periprocedural stroke represents a rare but serious complication of cardiac catheterization. Pooled data from randomized trials evaluating the risk of stroke following cardiac catheterization via transradial versus transfemoral access showed no difference. On the other hand, a significant difference in stroke rates favoring transradial access was found in a recent meta-analysis of observational studies. Our aim was to determine if there is a difference in stroke risk after transradial versus transfemoral catheterization within a contemporary real-world registry. Methods: Data from 14,139 patients included in a single-center prospective registry between 2009 and 2016 were used to determine the odds of periprocedural transient ischemic attack (TIA) and stroke for radial versus femoral catheterization via multivariate logistic regression with Firth's correction. Results: A total of 10,931 patients underwent transradial and 3,208 underwent transfemoral catheterization. Periprocedural TIA/stroke occurred in 41 (0.29%) patients. Age was the only significant predictor of TIA/stroke in multivariate analysis, with each additional year representing an odds ratio (OR) = 1.09 (CI 1.05-1.13, p < 0.000). The choice of accession site had no impact on the risk of periprocedural TIA/stroke (OR = 0.81; CI 0.38-1.72, p = 0.577). Conclusion: Observational data from a large prospective registry indicate that accession site has no influence on the risk of periprocedural TIA/stroke after cardiac catheterization.
ER  -

MATEJKA, J., I. VARVAROVSKY, J. TUZIL, Tomáš DOLEŽAL, Martin BOBÁK, J. POSPICHAL, P. GEIER, J. VONDRAK, K. BLAHA, J. MALEK, A. STANKOVA, J. BUJDAK, V. ROZSIVAL, V. NOVOTNY, T. LAZARAK, M. PLIVA, J. ERA and P. VOJTISEK. Accession Site Does Not Influence the Risk of Stroke after Diagnostic Coronary Angiography or Intervention: Results from a Large Prospective Registry. \textit{CEREBROVASCULAR DISEASES EXTRA}. BASEL: KARGER, 2021, vol.~11, No~3, p.~122-130. ISSN~1664-5456. Available from: https://dx.doi.org/10.1159/000519539.

Detailed Information on Publication Record