Changes in Arterial Access Site and Association With Mortality in the United Kingdom
Author(s) -
Mamas A. Mamas,
James Nolan,
Mark de Belder,
Azfar Zaman,
Tim Kinnaird,
Nick Curzen,
Chun Shing Kwok,
Iain Buchan,
Peter Ludman,
Evangelos Kontopantelis
Publication year - 2016
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.115.018083
Subject(s) - medicine , cardiology , gerontology
The transradial access (TRA) site has become the default access site for percutaneous coronary intervention in the United Kingdom, with randomized trials and national registry data showing reductions in mortality associated with TRA use. This study evaluates regional changes in access site practice in England and Wales over time, examines whether changes in access site practice have been uniform nationally and across different patient subgroups, and provides national estimates for the potential number of lives saved or lost associated with regional differences in access site practice.
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