Table 1.
Patient characteristicsA
| Study | Year | Design | No. | Age | Male, % |
Clinical scenario |
Follow- up |
Primary outcome | MACE definition | Definition of complication | Cardiogenic shock |
|---|---|---|---|---|---|---|---|---|---|---|---|
| RCTs | |||||||||||
| FARMI25 | 2007 | RCT, single center | 57 57 |
60 ± 12 58 ± 13 |
86 82 |
STEMI | In-hospital | Incidence of peripheral arterial complication | NR | TIMI major | No |
| Gan et al26 | 2009 | RCT, multicenter | 90 105 |
54 ± 12.5 52 ± 12 |
73 84 |
STEMI | In-hospital and 6 mo | NR | Death, CABG, MI, and TLR | NR | No |
| Hou et al27 | 2010 | RCT, single center | 100 100 |
65 ± 8 66 ± 8 |
72 69 |
AMI | 30 d | NR | Death, recurrent MI, and TVR | Hemoglobin loss of at least 2 mmol/L, administration of blood transfusions, and needing vascular repair | No |
| Li et al28 | 2007 | RCT, single center | 184 186 |
56.5 ± 11 55 ± 13 | 76 64 |
STEMI | In-hospital | NR | NR | Local hematoma | No |
| Mann et al29 | 1998 | RCT, single center | 65 77 |
63 62 |
65 68 |
ACS | In-hospital | NR | NR | Access site complications were defined as a vascular bleeding that prolonged hospitalization | No |
| OCEAN RACE30 | 2014 | RCT, single center | 52 51 |
61 (50–72) 63 (50–75) |
NR | STEMI | 12 mo | Major bleeding by the REPLACE-2 scale and minor bleeding by EASY scale (TR arm) or the FEMORAL scale (TF arm) | Cardiovascular death, recurrent MI, stroke, repeat revascularization, and (non-CABG) bleedings | REPLACE-2 scale | No |
| RADIAL-AMI31 | 2005 | RCT, multicenter | 25 25 |
52 (48–60) 58 (49–72) |
76 100 |
STEMI | 30 d | Primary efficacy: reperfusion time (time from local anesthesia infiltration to first balloon inflation) Primary safety: major bleeding and access site complications |
NR | Intracranial or retroperitoneal bleeding, drop in hemoglobin level >5 g/dL, hematocrit zB 15%, or bleeding requiring blood transfusion | No |
| RADIAMI32 | 2009 | RCT, single center | 50 50 |
60 ± 9 59 ± 9 |
51.5 48.5 |
STEMI | In-hospital | NR | Death, MI | Intracranial hemorrhage, fatal bleeding, bleeding requiring blood transfusion, operation, or resulting in drop in hemoglobin count >3 g/dL | No |
| RADIAMI II33 | 2011 | RCT, single center | 49 59 |
62 ± 9 58 ± 10 |
65 63 |
STEMI | In-hospital | NR | Death, CABG, MI, and TLR | Intracranial hemorrhage, fatal bleeding, bleeding requiring blood transfusion, operation, or resulting in drop in hemoglobin count >3 g/dL | No |
| RIFLE-STEACS34 | 2012 | RCT, multicenter | 500 501 |
65 (56–75) 65 (55–77) |
75 72 |
STEMI | 30 d | (NACEs) Cardiac death, stroke, myocardial infarction, target lesion revascularization, and bleeding | Cardiac death, nonfatal MI, TLR, and stroke | Non-CABG bleeding with 3 g/dL decrease in hemoglobin, leading to increased level of care | No |
| RIVAL35 | 2011 | RCT, multicenter | 3507 3514 |
62 (12) 62 (12) |
74 73 |
STEMI NSTEMI |
30 d | composite of death, myocardial infarction, stroke, or (non-CABG)-related major bleeding | Death, MI, and stroke | TIMI major | No |
| STEMI-RADIAL36 | 2014 | RCT, multicenter | 348 359 |
63 ± 11 61.5 ± 11 |
75 79 |
STEMI | 30 d and 6 mo | Cumulative incidence of major bleeding and vascular access site complications | Death, MI, and stroke | HORIZONS-AMI | No |
| TEMPURA3 | 2003 | RCT, single center | 77 72 |
66 ± 12 67 ± 10 |
80.5 82 |
STEMI | In-hospital and 9 mo | MACE | Death, recurrent MI, or TVR | Bleeding requiring blood transfusion and/or surgical repair or cerebral bleeding | No |
| Wang et al37 | 2012 | RCT, single center | 60 59 |
60 ± 12 60 ± 11 |
87 83 |
STEMI | In hospital | NR | Death, recurrent MI, and repeat TLR | TIMI major | No |
| Yan et al38 | 2008 | RCT, single center | 57 46 |
70 ± 7.5 71 ± 8 |
75 74 |
STEMI | 30 d | NR | Death, recurrent MI, and repeat TVR | TIMI major | No |
| Cohorts | |||||||||||
| Arzamendi et al39 | 2010 | Prospective cohort, single center with propensity-matched analysis | 238 251 |
59 ± 13 64 ± 13 |
81 59 |
STEMI | In-hospital, 30 d and 1 y | Time to revascularization and the incidence of major bleeding. | Cardiac death, MI, and TVR | Intracranial or intraocular bleeding, access site hemorrhage requiring intervention, hematoma with diameter of ≥5 cm, a reduction in hemoglobin level of ≥4 g/dL without overt bleeding source or ≥ 3 g/dL with an overt bleeding source, reoperation for bleeding, or transfusion of blood product | Yes |
| Diaz de la Llera et al40 | 2004 | Prospective cohort, single center | 103 59 |
55 ± 11 61 ± 12 |
90 78 |
STEMI | 30 d | MACE and local complications | Death, new MI, and need for new revascularization | Vascular repair and hemorrhage requiring blood transfusion and hematomas requiring prolonged hospitalization | No |
| EURO TRANSFER41 |
2010 | Post hoc analysis of multicenter, multinational EUROTRANSFER registry | 169 917 |
63 ± 13 63 ± 0.512 |
76 75 |
STEMI | In-hospital bleeding, death at 1 y | Main outcomes death and in-hospital bleeding | Death, MI, or TLR | Blood transfusion during hospital stay after index PCI procedure and intracranial hemorrhage | No |
| Hamon et al42 | 2011 | Post hoc analysis of multicenter, multinational OASIS-5 trial with propensity-matched analysis | 1,398 12,761 |
64 ± 11 65 ± 11 |
71 65 |
UA NSTEMI |
9 d, 30 d, and 6 mo | Death, myocardial infarction and refractory ischemia | Death, MI, and TVR | Fatal bleeding, intracranial, retroperitoneal, intraocular, drop in hemoglobin ≥3 g/dL or requiring transfusion ≥2 U RBC | NR |
| Hetherington et al43 | 2009 | Prospective cohort, single center | 571 480 |
62 ± 13 65 ± 13 |
75 66 |
STEMI | In-hospital | Procedural success, major vascular complication and failed initial access strategy | Death, stroke, CABG, MI, or TVR | Access site hemorrhage/hematoma requiring transfusion or delaying hospital discharge or proved false aneurysm formation | No |
| HORIZONS-AMI44 | 2011 | Post hoc analysis of multicenter, multinational HORIZONS-AMI trial | 200 3134 |
59a (52–68) 60a (53–67) |
73 77 |
STEMI | 30-d and 1 y | NACE (MACE or major bleeding) | Death, MI, stroke, or TVR | Intracranial or intraocular hemorrhage, hematomas ≥5 cm in diameter, access site hemorrhage requiring intervention, reoperation for bleeding, clinically overt bleeding with decrease in hemoglobin by ≥3 g/dL, reduction in hemoglobin concentration of ≥4 g/dL without an overt source of bleeding, or need for any blood product transfusion | Yes |
| Ibebuogu et al45 | 2012 | Prospective cohort, single center | 46 104 |
62 ± 12 65 ± 14 |
76 72 |
STEMI | In-hospital | NR | NR | Hematoma and vascular complications | Yes |
| Kajiya et al46 | 2012 | Prospective cohort, single center with propensity-matched analysis, ACUITY trial |
350 693 |
56 ± 11 57 ± 12 |
87 85 |
STEMI | 30 d | DTB time, major and minor bleeding, and MACE | Death, MI, and TVR | Intracranial or intraocular bleeding, hemorrhage at access site requiring intervention, hematoma with diameter of at least 5 cm, reduction in hemoglobin levels of at least 4 g/dL without an overt bleeding source or at least 3 g/dL with such a source, reoperation for bleeding, or transfusion of blood product | Yes |
| Klutstein et al47 | 2013 | Post hoc analysis of multicenter, multinational RCT EARLY-ACS trial with propensity-matched analysis | 1230 7896 |
65a (56–73) 68a (60–75) |
74 68 |
NSTEMI | 30-d death/MI 1−y death |
Bleeding occurring within 120 h of the catheterization procedure | Death, MI, and TVR at 3 d | TIMI major | Yes |
| Philippe et al2 | 2004 | Prospective cohort, single center | 64 55 |
59 ± 20 60 ± 10 |
75 72 |
ACS | 30 d | Major access site bleeding and major cardiac events | Death, MI, CABG, or TVR | TIMI major | No |
| Qin et al48 | 2013 | Prospective cohort, single center | 298 314 |
66 ± 10 65 ± 12 |
72 74 |
STEMI | 30 d | MACE | Death, MI, or TLR | Fatal bleeding, resulted in transfusion of ≥2 U of blood; caused substantial hypotension with need for inotropes; required surgical intervention; caused severely disabling sequelae; was intracranial and symptomatic or intraocular and led to significant visual loss or led to decrease in hemoglobin of at least 5 g/dL | No |
| Secco et al49 | 2013 | Prospective cohort, single center | 177 106 |
82 ± 4 83 ± 4 |
57 42.5 |
STEMI | In-hospital | Main outcome of interest was time to dilatation | NR | TIMI criteria | Yes |
| TRAP-AMI50 | 2013 | Prospective cohort, single center | 425 41 |
61 ± 14 62 ± 19 |
76 49 |
STEMI | In-hospital | NR | NR | Bleeding necessitating blood transfusion | No |
| Valsecchi et al51 | 2003 | Prospective cohort, single center | 163 563 |
61.5± 12 61.5 ±13 |
87 86 |
STEMI | 30 d | MACE | Death, MI, ventricular arrhythmias, heart failure, or TLR | TIMI major | No |
| Weaver et al52 | 2010 | Prospective cohort, single center | 124 116 |
60 ± 12 61 ± 13 |
82 79 |
STEMI | In-hospital | NR | NR | TIMI major | No |
| Yip et al53 | 2009 | Prospective cohort, single center | 506 810 |
61 ± 12 62 ± 12 |
82 84 |
STEMI | 30 d | NR | NR | Bleeding related to the procedure with fall in hemoglobin >3 g/dl requiring blood transfusion | No |
CABG, coronary artery bypass grafting; DTB, door-to-balloon; MACE, major adverse cardiac events; MI, myocardial infarction; NACE,C; NR, no resultD; PCI, percutaneous coronary interventions; RBC, red blood cell count; RCT, randomized controlled trial; STEMI, ST-elevation myocardial infarction; TIMI, thrombolysis in myocardial infarction; TF, femoral; TLR, target lesion revascularization; TR, radial; TVR, target vessel revascularization.
Median distribution.
No title provided as originally received. Insertion OK?
What does z mean?
Pls define NACE.
Correct expansion of NR?