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. Author manuscript; available in PMC: 2017 Jan 1.
Published in final edited form as: South Med J. 2016 Jan;109(1):61–76. doi: 10.14423/SMJ.0000000000000404

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.

a

Median distribution.

A

No title provided as originally received. Insertion OK?

B

What does z mean?

C

Pls define NACE.

D

Correct expansion of NR?