Table 1. Main Characteristics of included trials.
Trial | Year of publication | Period of enrollment | Multi-centre | Patients number | Mean age (years) | Male (%) | ACS type | Rescue PCI (%) | Follow-up | Gp IIb/IIIa inhibitors (%) | Type of Gp IIb/IIIa inhibitors | Hemostasis | Crossover (%) | |||||||
TFA | TRA | TFA | TRA | TFA | TRA | TFA | TRA | TFA | TRA | TFA | TRA | TFA | TRA | |||||||
FARMI (16) | 2007 | 2004-05 | No | 57 | 57 | 60 | 58 | 86 | 82.5 | STEMI | 49.1 | 35.1 | In-hospital | 100 | 100 | Abciximab | manual compression | manual compression | 1.8 | 12.3 |
Gan et al. (17) | 2009 | 2004-07 | Yes | 105 | 90 | 52.3 | 53.6 | 80 | 81.1 | STEMI | 0 | 0 | In-hospital | 34.3 | 31.1 | N.A. | manual compression | manual compression | 0 | 1.1 |
Hou et al. (18) | 2010 | 2005-08 | No | 100 | 100 | 66.2 | 64.9 | 69 | 72 | STEMI | 0* | 0* | 30-day | 20 | 28 | Tirofiban | manual compression | TR-Band | 0 | 4 |
Mann et al. (19) | 1998 | 1997 | No | 77 | 65 | 62 | 63 | 78 | 65 | STEMINSTEMIUA | N.A. | N.A. | In-hospital | 10 | 15 | Abciximab | manual compression + FemoStop | radial artery compression device | 0 | 13.8 |
RADIAL-AMI (20) | 2005 | N.A. | Yes | 25 | 25 | 58 | 52 | 0 | 76 | STEMI | 68 | 64 | 30-day | 92 | 95 | Abciximab Tirofiban Eptifibatide | manual compression (92%). VCD (8%). | manual compression | 0 | 4 |
RADIAMI (21) | 2009 | 2005-06 | No | 50 | 50 | 59.1 | 59.9 | 48.5 | 51.5 | STEMI | 0 | 0 | In-hospital | 42 | 44 | Abciximab | manual compression | TR-Band | 2 | 8 |
RADIAMI II (22) | 2011 | 2006-08 | No | 59 | 49 | 57.6 | 62.1 | 63 | 65 | STEMI | 0* | 0* | In-hospital | 54 | 51 | Abciximab | StarClose device | TR-Band | 1.7 | 4.1 |
RIFLE-STEACS (23) | 2012 | 2009-11 | Yes | 501 | 500 | 65 | 65 | 71.9 | 74.8 | STEMI | 7 | 8.2 | 30-day | 69.9 | 67.4 | N.A. | N.A. | N.A. | 2.8 | 9.6 |
RIVAL (24) | 2011 | 2006-10 | Yes | 3,514 | 3,507 | 62 | 62 | 72.9 | 74.1 | STEMINSTEMIUA | 11.1 | 10.6 | 30-day | 24 | 25.3 | N.A. | manual compression (74.4%). VCD (25.6%) | N.A. | 0.9 | 7 |
TEMPURA (25) | 2003 | 1999-2001 | No | 72 | 77 | 67 | 66 | 81.9 | 80.5 | STEMI | 0* | 0* | In-hospital | 0† | 0† | - | manual compression | manual compression | 0 | 1.5 |
Wang et al. (26) | 2012 | 2008-10 | No | 59 | 60 | 60.2 | 59.8 | 83.1 | 86.7 | STEMI‡ | N.A. | N.A. | In-hospital | 50.8 | 55 | Tirofiban | manual compression | manual compression | 1.7 | 6.7 |
* Only patients treated with primary PCI were enrolled.
Glycoprotein IIb/IIIa inhibitors were not given in any of the patients because not approved for clinical use in Japan.
STEMI patients receiving routine early PCI within 12 hours after thrombolysis were enrolled.
PCI, Percutaneous coronary intervention; ACS, Acute coronary syndrome; STEMI, ST-segment elevation myocardial infarction; NSTEMI, Non-ST-segment elevation myocardial infarction; UA, Unstable angina; TFA, Transfemoral approach; TRA, Transradial approach; VCD, vascular closure devices; N.A., Not available data.