Acute cardiac care & resuscitation
Characteristics and outcome in cardiogenic shock according to vascular access site for percutaneous coronary intervention
Authors' conclusion
Transfemoral access was more common in patients with worse haemodynamics and was associated with higher 30-day mortality compared with TRA. This mortality difference persisted in the PSM analysis.
Study context
- Population
- Patients with acute MI complicated by cardiogenic shock undergoing PCI, nationwide registry, 2017–202145% transradial access (TRA)
- Participants
- 1,562 patients
- Exposure
- Transradial vs transfemoral access for PCI
- Outcome
- Mortality
- Follow-up
- 30 days
Methodological detailsnationwide registry, propensity-score matched
- Nationwide registry
- Propensity-score matched
Main finding
As reported in the abstract
30-day mortality
P < 0.001
Observational data: associations, not effects.
Further findings
Factors associated with transfemoral access (TFA)
- TFA patients more often female, prior CABG, lower BP, higher resuscitation and intubation rates, elevated lactate
Predictors of radial-to-femoral crossover
- Left coronary artery interventions, multivessel PCI and mechanical circulatory support (MCS) initiation
TRA use over time
- Increasing trend over time
Original publication
Characteristics and outcome in cardiogenic shock according to vascular access site for percutaneous coronary intervention. Eur Heart J Acute Cardiovasc Care. Published 26 June 2024. doi:10.
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