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http://hdl.handle.net/1942/43619
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DC Field | Value | Language |
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dc.contributor.author | Meijers, Thomas A. | - |
dc.contributor.author | Nap, Alexander | - |
dc.contributor.author | Aminian, Adel | - |
dc.contributor.author | Schmitz, Thomas | - |
dc.contributor.author | DENS, Jo | - |
dc.contributor.author | Teeuwen, Koen | - |
dc.contributor.author | van Kuijk, Jan-Peter | - |
dc.contributor.author | van Wely, Marleen | - |
dc.contributor.author | BATAILLE, Yoann | - |
dc.contributor.author | Kraaijeveld, Adriaan O. | - |
dc.contributor.author | Roolvink, Vincent | - |
dc.contributor.author | Dambrink, Jan Henk E. | - |
dc.contributor.author | Gosselink, A. T. Marcel | - |
dc.contributor.author | Hermanides, Renicus S. | - |
dc.contributor.author | Ottervanger, Jan Paul | - |
dc.contributor.author | Tsilingiris, Ioannis | - |
dc.contributor.author | van den Buijs, Deborah M. F. | - |
dc.contributor.author | van Royen, Niels | - |
dc.contributor.author | van Leeuwen, Maarten A. H. | - |
dc.date.accessioned | 2024-09-02T07:59:37Z | - |
dc.date.available | 2024-09-02T07:59:37Z | - |
dc.date.issued | 2024 | - |
dc.date.submitted | 2024-08-19T10:43:05Z | - |
dc.identifier.citation | EuroIntervention, 20 (14) , p. e876 -e886 | - |
dc.identifier.uri | http://hdl.handle.net/1942/43619 | - |
dc.description.abstract | BACKGROUND: Transfemoral access is often used when large-bore guide catheters are required for percutaneous coronary intervention (PCI) of complex coronary lesions, especially when large-bore transradial access is contraindicated. Whether the risk of access site complications for these procedures may be reduced by ultrasoundguided puncture is unclear. AIMS: We aimed to show the superiority of ultrasound-guided femoral puncture compared to fluoroscopy-guided access in large-bore complex PCI with regard to access site-related Bleeding Academic Research Consortium 2, 3 or 5 bleeding and/or vascular complications requiring intervention during hospitalisation. METHODS: The ULTRACOLOR Trial is an international, multicentre, randomised controlled trial investigating whether ultrasound-guided large-bore femoral access reduces clinically relevant access site complications compared to fluoroscopy-guided large-bore femoral access in PCI of complex coronary lesions. RESULTS: A total of 544 patients undergoing complex PCI mandating large-bore (>= 7 Fr) transfemoral access were randomised at 10 European centres (median age 71; 76% male). Of these patients, 68% required PCI of a chronic total occlusion. The primary endpoint was met in 18.9% of PCI with fluoroscopy-guided access and 15.7% of PCI with ultrasound-guided access (p=0.32). First-pass puncture success was 92% for ultrasound-guided access versus 85% for fluoroscopy-guided access (p=0.02). The median time in the catheterisation laboratory was 102 minutes versus 105 minutes (p=0.43), and the major adverse cardiovascular event rate at 1 month was 4.1% for fluoroscopyguided access and 2.6% for ultrasound-guided access (p=0.32). CONCLUSIONS: As compared to fluoroscopy-guided access, the routine use of ultrasound-guided access for largebore transfemoral complex PCI did not significantly reduce clinically relevant bleeding or vascular access site complications. A significantly higher first-pass puncture success rate was demonstrated for ultrasound-guided access. ClinicalTrials.gov identifier: NCT04837404 | - |
dc.description.sponsorship | Maatschap Cardiologie Zwolle; TOP Medical Consultancy B.V. | - |
dc.publisher | EUROPA EDITION | - |
dc.subject.other | complex PCI | - |
dc.subject.other | CTO | - |
dc.subject.other | large bore | - |
dc.subject.other | ultrasound | - |
dc.subject.other | vascular access | - |
dc.title | Ultrasound-guided versus fluoroscopy-guided large-bore femoral access in PCI of complex coronary lesions: the international, multicentre, randomised ULTRACOLOR Trial | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | e886 | - |
dc.identifier.issue | 14 | - |
dc.identifier.spage | e876 | - |
dc.identifier.volume | 20 | - |
local.format.pages | 48 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | van Leeuwen, MAH (corresponding author), Isala Heart Ctr, Dr van Heesweg 2, NL-8025 AB Zwolle, Netherlands. | - |
dc.description.notes | m.a.h.van.leeuwen@isala.nl | - |
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-24-00089 | - |
dc.identifier.isi | 001272976700006 | - |
local.provider.type | wosris | - |
local.description.affiliation | [Meijers, Thomas A.; Roolvink, Vincent; Dambrink, Jan Henk E.; Hermanides, Renicus S.; van Leeuwen, Maarten A. H.] Isala Heart Ctr, Dept Cardiol, Zwolle, Netherlands. | - |
local.description.affiliation | [Nap, Alexander] Univ Amsterdam, Med Ctr, Dept Cardiol, Amsterdam, Netherlands. | - |
local.description.affiliation | [Aminian, Adel] Ctr Hosp Univ Charleroi, Dept Cardiol, Charleroi, Belgium. | - |
local.description.affiliation | [Schmitz, Thomas; Tsilingiris, Ioannis] Elisabeth Hosp, Dept Cardiol, Essen, Germany. | - |
local.description.affiliation | [Dens, Joseph; van den Buijs, Deborah M. F.] Hosp Oost Limburg, Dept Cardiol, Genk, Belgium. | - |
local.description.affiliation | [Teeuwen, Koen] Catharina Hosp, Dept Cardiol, Eindhoven, Netherlands. | - |
local.description.affiliation | [van Kuijk, Jan-Peter] St Antonius Hosp, Dept Cardiol, Nieuwegein, Netherlands. | - |
local.description.affiliation | [van Wely, Marleen; van Royen, Niels] Radboud Univ Nijmegen, Med Ctr, Dept Cardiol, Nijmegen, Netherlands. | - |
local.description.affiliation | [Bataille, Yoann] Jessa Hosp, Dept Cardiol, Hasselt, Belgium. | - |
local.description.affiliation | [Kraaijeveld, Adriaan O.] Univ Med Ctr Utrecht, Dept Cardiol, Utrecht, Netherlands. | - |
local.uhasselt.international | yes | - |
item.fulltext | No Fulltext | - |
item.accessRights | Closed Access | - |
item.fullcitation | Meijers, Thomas A.; Nap, Alexander; Aminian, Adel; Schmitz, Thomas; DENS, Jo; Teeuwen, Koen; van Kuijk, Jan-Peter; van Wely, Marleen; BATAILLE, Yoann; Kraaijeveld, Adriaan O.; Roolvink, Vincent; Dambrink, Jan Henk E.; Gosselink, A. T. Marcel; Hermanides, Renicus S.; Ottervanger, Jan Paul; Tsilingiris, Ioannis; van den Buijs, Deborah M. F.; van Royen, Niels & van Leeuwen, Maarten A. H. (2024) Ultrasound-guided versus fluoroscopy-guided large-bore femoral access in PCI of complex coronary lesions: the international, multicentre, randomised ULTRACOLOR Trial. In: EuroIntervention, 20 (14) , p. e876 -e886. | - |
item.contributor | Meijers, Thomas A. | - |
item.contributor | Nap, Alexander | - |
item.contributor | Aminian, Adel | - |
item.contributor | Schmitz, Thomas | - |
item.contributor | DENS, Jo | - |
item.contributor | Teeuwen, Koen | - |
item.contributor | van Kuijk, Jan-Peter | - |
item.contributor | van Wely, Marleen | - |
item.contributor | BATAILLE, Yoann | - |
item.contributor | Kraaijeveld, Adriaan O. | - |
item.contributor | Roolvink, Vincent | - |
item.contributor | Dambrink, Jan Henk E. | - |
item.contributor | Gosselink, A. T. Marcel | - |
item.contributor | Hermanides, Renicus S. | - |
item.contributor | Ottervanger, Jan Paul | - |
item.contributor | Tsilingiris, Ioannis | - |
item.contributor | van den Buijs, Deborah M. F. | - |
item.contributor | van Royen, Niels | - |
item.contributor | van Leeuwen, Maarten A. H. | - |
crisitem.journal.issn | 1774-024X | - |
crisitem.journal.eissn | 1969-6213 | - |
Appears in Collections: | Research publications |
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