{"id":7189,"date":"2013-06-14T06:00:39","date_gmt":"2013-06-14T11:00:39","guid":{"rendered":"http:\/\/www.paristn.net\/articles\/?p=7189"},"modified":"2013-06-14T00:13:33","modified_gmt":"2013-06-14T05:13:33","slug":"american-heart-association-reports-unclogging-heart-arteries-through-wrist-becoming-more-common","status":"publish","type":"post","link":"https:\/\/www.paristn.net\/articles\/2013\/06\/14\/american-heart-association-reports-unclogging-heart-arteries-through-wrist-becoming-more-common\/","title":{"rendered":"American Heart Association reports unclogging Heart Arteries through wrist becoming more common"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-56563\" title=\"American Heart Association\" alt=\"American Heart Association\" src=\"http:\/\/www.clarksvilleonline.com\/wp-content\/uploads\/2010\/12\/American-Heart-Association-new-logo-480x230.jpg\" width=\"230\" height=\"110\" \/><strong>Dallas, TX<\/strong> &#8211; The way to a man\u2019s heart may be his wrist.<\/p>\n<p>More U.S. doctors are unclogging heart arteries (in men <em>and<\/em> women) by entering through the radial artery in the wrist, which is linked to less bleeding complications than the traditional route through the groin, according to new research in the American Heart Association journal <em>Circulation.<!--more--><\/em><\/p>\n<p>Doctors reopen blocked arteries by threading a catheter through the femoral artery in the groin or the radial artery in the wrist in a procedure called percutaneous coronary intervention (PCI).<\/p>\n<p>For the study, researchers examined data of almost 3 million artery-opening procedures in 1,381 centers in 2007-12.<\/p>\n<h3>They found:<\/h3>\n<ul>\n<li>In 2004-07, doctors used the radial artery to reach the heart in less than one out of every 50 PCI procedures.<\/li>\n<li>By the study\u2019s end in 2012, nearly one out of every six PCIs was performed through a radial artery in the wrist \u2014 a 13-fold increase.<\/li>\n<\/ul>\n<p>\u201cTraditionally, femoral access has been taught and used in the United States for PCI, whereas the radial approach is frequently used in Europe,\u201d said Dmitriy N. Feldman, M.D., the study\u2019s lead author and assistant professor of medicine at Weill Cornell Medical College, New York Presbyterian Hospital Department of Medicine, Greenberg Division of Cardiology.<\/p>\n<p>Wider use of the wrist-route procedure, particularly in high-risk patients, could improve PCI safety, researchers said.<\/p>\n<p>Bleeding complications are an important concern in PCI because patients are often treated with blood-thinning medications that make it harder to stop bleeding after the procedure. The radial artery is smaller and located closer to the skin\u2019s surface compared with the femoral artery, which is why it is easier to compress manually, Feldman said. This makes it easier to prevent or stop internal and external bleeding.<\/p>\n<h3>Researchers found:<\/h3>\n<ul>\n<li>Bleeding complications occurred in 2.67 percent of the radial artery procedures, compared to 6.08 percent of the femoral artery.<\/li>\n<li>Fewer vascular complications occurred in the radial artery group: 0.16 percent vs. 0.45 percent.<\/li>\n<\/ul>\n<p>High-risk patients \u2014 those over age 75, women and people with acute coronary syndromes \u2014 benefited most from radial PCI. However, its use and growth of use is lowest in those patients, researchers noted. A \u201clearning curve\u201d is important in developing proficiency in radial PCI procedures, particularly in high-risk patients, Feldman said.<\/p>\n<p>Doctors in academic institutions and centers in the New England area are using radial PCI at a much higher rate than other centers in the United States, researchers found.<\/p>\n<p>Co-authors are Rajesh V. Swaminathan, M.D.; Lisa A. Kaltenbach, M.S.; Dmitri V. Baklanov, M.D.; Luke K. Kim, M.D.; S. Chiu Wong, M.D.; Robert M. Minutello, M.D.; John C. Messenger, M.D.; Issam Moussa, M.D.; Kirk N. Garratt, M.D.; Robert N. Piana, M.D.; William B. Hillegass, M.D.; Mauricio G. Cohen, M.D.; Ian C. Gilchrist, M.D.; and Sunil V. Rao, M.D.<\/p>\n<p>Author disclosures are on the manuscript.<\/p>\n<p>The American College of Cardiology Foundation\u2019s National Cardiovascular Data Registry funded the study.<\/p>\n<p>For the latest heart and stroke news, follow us on Twitter: <a target=\"_blank\" href=\"https:\/\/twitter.com\/#%21\/HeartNews\" >@HeartNews<\/a>.<\/p>\n<p>For updates from <em>Circulation<\/em>, follow <a target=\"_blank\" href=\"https:\/\/twitter.com\/#%21\/CircAHA\" >@CircAHA<\/a><span style=\"text-decoration: underline;\">.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dallas, TX &#8211; The way to a man\u2019s heart may be his wrist. More U.S. doctors are unclogging heart arteries (in men and women) by entering through the radial artery in the wrist, which is linked to less bleeding complications than the traditional route through the groin, according to new research in the American Heart [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[86],"tags":[2538,4232,8069,6774,4030,8070,4560,8071,8072,8073,2038,8074],"class_list":["post-7189","post","type-post","status-publish","format-standard","hentry","category-health","tag-american-heart-association","tag-artieries","tag-catheter","tag-circulation","tag-dallas-tx","tag-femoral-artery","tag-heart","tag-pci","tag-percutaneous-coronary-intervention","tag-radial-artery","tag-united-states","tag-weill-cornell-medial-college"],"_links":{"self":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts\/7189","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/comments?post=7189"}],"version-history":[{"count":2,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts\/7189\/revisions"}],"predecessor-version":[{"id":7191,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts\/7189\/revisions\/7191"}],"wp:attachment":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/media?parent=7189"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/categories?post=7189"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/tags?post=7189"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}