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The Transradial Approach for Cardiac Catheterization and Percutaneous Coronary Intervention:A Review

Cardiovascular Innovations and Applications 2016年第B05期1卷 301-310页

作者： dhaval pau Nileshkumar J.Patel Nish Patel Mauricio G.Cohen Department of Medicine Staten Island University HospitalStaten IslandNYUSA Cardiovascular Division and Elaine and Sydney Sussman Cardiac Catheterization Laboratory University of Miami Miller School of MedicineMiamiFLUSA

Cardiac catheterization and percutaneous coronary intervention play an important role in the management of coronary artery *** the transfemoral approach has been the traditionally dominant method,there has been an increased utilization of the transradial *** observational studies and randomized clinical trials have shown fewer bleeding complications,reduced morbidity and mortality,improved quality of life,and better economic outcomes when the transradial approach is utilized when compared to the transfemoral *** its many benefits,utilization of this approach in certain countries including the United States has been less than optimal due to a lower adoption rates mostly driven by lack of training opportunities and decreased awareness of clinical benefits of the transradial *** this review,the history,observational trends,efficacy,and technical aspects of transradial cardiac catheterization and percutaneous coronary intervention are discussed.

关键词： transradial vascular access cardiac catheterization percutaneous coronary intervention

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Prognostic impact of atrial fibrillation on clinical outcomes of acute coronary syndromes,heart failure and chronic kidney disease

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World Journal of Cardiology 2015年第7期7卷 397-403页

作者： Nileshkumar J Patel Aashay Patel Kanishk Agnihotri dhaval pau Samir Patel Badal Thakkar Nikhil Nalluri Deepak Asti Ritesh Kanotra Sabeeda Kadavath Shilpkumar Arora Nilay Patel Achint Patel Azfar Sheikh Neil Patel Apurva O Badheka Abhishek Deshmukh Hakan Paydak Juan Viles-Gonzalez Cardiovascular Division Staten Island University Hospital Cardiovascular Division Lankenau Institute of Medical Research Cardiovascular Division Saint Peters University Hospital Cardiovascular Division Western Reserve Health Education Cardiovascular Division Tulane University School of Public Health and Tropical Medicine Cardiovascular Division Lincoln Medical and Mental Health Center Cardiovascular Division St. Lukes Roosevelt Hospital Cardiovascular Division Icahn School of Medicine at Mount Sinai Cardiovascular Division Yale School of Medicine Cardiovascular Division Mayo Clinic Cardiovascular Division University of Arkansas for Medical Sciences Cardiovascular Division University of Miami Miller School of Medicine

Atrial fibrillation(AF) is the most common type of sustained arrhythmia,which is now on course to reach epidemic proportions in the elderly population. AF is a commonly encountered comorbidity in patients with cardiac and major non-cardiac diseases. Morbidity and mortality associated with AF makes it a major healthcare burden. The objective of our article is to determine the prognostic impact of AF on acute coronary syndromes,heart failure and chronic kidney disease. Multiple studies have been conducted to determine if AF has an independent role in the overall mortality of such patients. Our review suggests that AF has an independent adverse prognostic impact on the clinical outcomes of acute coronary syndromes,heart failure and chronic kidney disease.

关键词： Atrial fibrillation Heart failure Chronic kidney disease Acute coronary syndromes Prognostic impact

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