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http://hdl.handle.net/1942/36538
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DC Field | Value | Language |
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dc.contributor.author | Gragnano, Felice | - |
dc.contributor.author | Jolly, Sanjit S. | - |
dc.contributor.author | Mehta, Shamir R. | - |
dc.contributor.author | Branca, Mattia | - |
dc.contributor.author | van Klaveren, David | - |
dc.contributor.author | Frigoli, Enrico | - |
dc.contributor.author | Gargiulo, Giuseppe | - |
dc.contributor.author | Leonardi, Sergio | - |
dc.contributor.author | VRANCKX, Pascal | - |
dc.contributor.author | Di Maio, Dario | - |
dc.contributor.author | Monda, Emanuele | - |
dc.contributor.author | Fimiani, Luigi | - |
dc.contributor.author | Fioretti, Vincenzo | - |
dc.contributor.author | Chianese, Salvatore | - |
dc.contributor.author | Ando, Giuseppe | - |
dc.contributor.author | Esposito, Giovanni | - |
dc.contributor.author | Sangiorgi, Giuseppe Massimo | - |
dc.contributor.author | Biondi-Zoccai, Giuseppe | - |
dc.contributor.author | Heg, Dik | - |
dc.contributor.author | Calabro, Paolo | - |
dc.contributor.author | Windecker, Stephan | - |
dc.contributor.author | Romagnoli, Enrico | - |
dc.contributor.author | Valgimigli, Marco | - |
dc.date.accessioned | 2022-01-19T09:50:38Z | - |
dc.date.available | 2022-01-19T09:50:38Z | - |
dc.date.issued | 2021 | - |
dc.date.submitted | 2022-01-17T06:12:54Z | - |
dc.identifier.citation | EuroIntervention, 17 (12) , p. E971-+ | - |
dc.identifier.issn | 1774-024X | - |
dc.identifier.uri | http://hdl.handle.net/1942/36538 | - |
dc.description.abstract | Y Background: The radial artery is recommended by international guidelines as the default vascular access in patients with acute coronary syndromes (ACS) managed invasively. However, crossover from radial to femoral access is required in 4-10% of cases and has been associated with worse outcomes. No standardised algorithm exists to predict the risk of radial crossover. Aims: We sought to derive and externally validate a risk score to predict radial crossover in patients with ACS managed invasively. Methods: The derivation cohort consisted of 4,197 patients with ACS undergoing invasive management via the randomly allocated radial access from the MATRIX trial. Using logistic regression, we selected predictors of radial crossover and developed a numerical risk score. External validation was accomplished among 3,451 and 491 ACS patients managed invasively and randomised to radial access from the RIVAL and RIFLE-STEACS trials, respectively. Results: The MATRIX score (age, height, smoking, renal failure, prior coronary artery bypass grafting, ST-segment elevation myocardial infarction, Killip class, radial expertise) showed a c-index for radial cross-over of 0.71 (95% CI: 0.67-0.75) in the derivation cohort. Discrimination ability was modest in the RIVAL (c-index: 0.64; 95% CI: 0.59-0.67) and RIFLE-STEACS (c-index: 0.66; 95% CI: 0.57-0.75) cohorts. A cut-off of >= 41 points was selected to identify patients at high risk of radial crossover. Conclusions: The MATRIX score is a simple eight-item risk score which provides a standardised tool for the prediction of radial crossover among patients with ACS managed invasively. This tool can assist opera-tors in anticipating and better addressing difficulties related to transradial procedures, potentially improving outcomes. | - |
dc.description.sponsorship | The MATRIX trial was sponsored by the Società Italiana di Cardiologia Invasiva (GISE, a non-profit organisation), which received grant support from The Medicines Company and Terumo. This substudy did not receive any direct or indirect funding | - |
dc.language.iso | en | - |
dc.publisher | EUROPA EDITION | - |
dc.rights | Europa Digital & Publishing 2021. All rights reserved. | - |
dc.subject.other | access site | - |
dc.subject.other | ACS/NSTE-ACS | - |
dc.subject.other | femoral | - |
dc.subject.other | NSTEMI | - |
dc.subject.other | radial | - |
dc.subject.other | STEMI | - |
dc.title | Prediction of radial crossover in acute coronary syndromes derivation and validation of the MATRIX score | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | -+ | - |
dc.identifier.issue | 12 | - |
dc.identifier.spage | E971 | - |
dc.identifier.volume | 17 | - |
local.format.pages | 17 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | Valgimigli, M (corresponding author), Ente Osped Cantonale, Cardioctr Ticino Inst, Via Tesserete 48, CH-6900 Lugano, Switzerland. | - |
dc.description.notes | marco.valgimigli@cardiocentro.org | - |
local.publisher.place | 19 ALLEES JEAN JAURES B P 61508, TOULOUSE CEDEX 6, 31015, FRANCE | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
dc.identifier.doi | 10.4244/EIJ-D-21-00441 | - |
dc.identifier.pmid | 34374343 | - |
dc.identifier.isi | 000733983100008 | - |
dc.contributor.orcid | Monda, Emanuele/0000-0001-9304-988X | - |
dc.identifier.eissn | 1969-6213 | - |
local.provider.type | wosris | - |
local.description.affiliation | [Gragnano, Felice; Windecker, Stephan; Valgimigli, Marco] Univ Bern, Dept Cardiol, Inselspital, Bern, Switzerland. | - |
local.description.affiliation | [Gragnano, Felice; Di Maio, Dario; Monda, Emanuele; Calabro, Paolo] Univ Campania Luigi Vanvitelli, Dept Translat Med, Div Cardiol, Caserta, Italy. | - |
local.description.affiliation | [Jolly, Sanjit S.; Mehta, Shamir R.] McMaster Univ, Dept Med, Hamilton, ON, Canada. | - |
local.description.affiliation | [Jolly, Sanjit S.; Mehta, Shamir R.] Hamilton Hlth Sci, Hamilton, ON, Canada. | - |
local.description.affiliation | [Branca, Mattia; Frigoli, Enrico; Heg, Dik] Univ Bern, Clin Trials Unit, Bern, Switzerland. | - |
local.description.affiliation | [van Klaveren, David] Erasmus MC, Rotterdam, Netherlands. | - |
local.description.affiliation | [Gargiulo, Giuseppe; Fioretti, Vincenzo; Chianese, Salvatore; Esposito, Giovanni] Federico II Univ Naples, Dept Adv Biomed Sci, Naples, Italy. | - |
local.description.affiliation | [Leonardi, Sergio] Univ Pavia, Pavia, Italy. | - |
local.description.affiliation | [Leonardi, Sergio] Fdn IRCCS Policlin S Matteo, Pavia, Italy. | - |
local.description.affiliation | [Vranckx, Pascal] Jessa Ziekenhuis, Hartctr Hasselt, Dept Cardiol & Crit Care Med, Hasselt, Belgium. | - |
local.description.affiliation | [Vranckx, Pascal] Univ Hasselt, Fac Med & Life Sci, Hasselt, Belgium. | - |
local.description.affiliation | [Fimiani, Luigi; Ando, Giuseppe] Univ Messina, Dept Clin & Expt Med, Unit Cardiol, Messina, Italy. | - |
local.description.affiliation | [Sangiorgi, Giuseppe Massimo] Univ Roma Tor Vergata, Dept Biomed & Prevent, Rome, Italy. | - |
local.description.affiliation | [Biondi-Zoccai, Giuseppe] Sapienza Univ Rome, Dept Med Surg Sci & Biotechnol, Latina, Italy. | - |
local.description.affiliation | [Biondi-Zoccai, Giuseppe] Mediterranea Cardioctr, Naples, Italy. | - |
local.description.affiliation | [Romagnoli, Enrico] Fdn Policlin Univ A Gemelli IRCCS, Rome, Italy. | - |
local.description.affiliation | [Valgimigli, Marco] Ente Osped Cantonale, Cardioctr Ticino Inst, Via Tesserete 48, CH-6900 Lugano, Switzerland. | - |
local.uhasselt.international | yes | - |
item.fulltext | With Fulltext | - |
item.validation | ecoom 2022 | - |
item.accessRights | Restricted Access | - |
item.fullcitation | Gragnano, Felice; Jolly, Sanjit S.; Mehta, Shamir R.; Branca, Mattia; van Klaveren, David; Frigoli, Enrico; Gargiulo, Giuseppe; Leonardi, Sergio; VRANCKX, Pascal; Di Maio, Dario; Monda, Emanuele; Fimiani, Luigi; Fioretti, Vincenzo; Chianese, Salvatore; Ando, Giuseppe; Esposito, Giovanni; Sangiorgi, Giuseppe Massimo; Biondi-Zoccai, Giuseppe; Heg, Dik; Calabro, Paolo; Windecker, Stephan; Romagnoli, Enrico & Valgimigli, Marco (2021) Prediction of radial crossover in acute coronary syndromes derivation and validation of the MATRIX score. In: EuroIntervention, 17 (12) , p. E971-+. | - |
item.contributor | Gragnano, Felice | - |
item.contributor | Jolly, Sanjit S. | - |
item.contributor | Mehta, Shamir R. | - |
item.contributor | Branca, Mattia | - |
item.contributor | van Klaveren, David | - |
item.contributor | Frigoli, Enrico | - |
item.contributor | Gargiulo, Giuseppe | - |
item.contributor | Leonardi, Sergio | - |
item.contributor | VRANCKX, Pascal | - |
item.contributor | Di Maio, Dario | - |
item.contributor | Monda, Emanuele | - |
item.contributor | Fimiani, Luigi | - |
item.contributor | Fioretti, Vincenzo | - |
item.contributor | Chianese, Salvatore | - |
item.contributor | Ando, Giuseppe | - |
item.contributor | Esposito, Giovanni | - |
item.contributor | Sangiorgi, Giuseppe Massimo | - |
item.contributor | Biondi-Zoccai, Giuseppe | - |
item.contributor | Heg, Dik | - |
item.contributor | Calabro, Paolo | - |
item.contributor | Windecker, Stephan | - |
item.contributor | Romagnoli, Enrico | - |
item.contributor | Valgimigli, Marco | - |
crisitem.journal.issn | 1774-024X | - |
crisitem.journal.eissn | 1969-6213 | - |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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gragnano_prediction-of-radial-crossover-in-acute-coronary-syndromes-derivation-and-valida.pdf Restricted Access | Early view | 1.05 MB | Adobe PDF | View/Open Request a copy |
Valgimigli_MATRIX score_MS_2020-10-02 (2).pdf Restricted Access | Non Peer-reviewed author version | 1.12 MB | Adobe PDF | View/Open Request a copy |
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