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Comparision of frequency of silent cerebral infarction after coronary angiography and stenting with transradial vs transfemoral approaches

The American Journal of Cardiology May 19, 2018

Goksuluk H, et al. - Researchers determined the impact of transfemoral vs transradial approaches on the risk of silent cerebral infarction (SCI) in consecutive patients who underwent diagnostic or interventional coronary procedures. SCI was defined as elevation of neuron specific enolase (NSE) levels greater than 12 ng/ml after the procedure. Patients were mainly male (60%) with a mean age of 62 years. Of 255 patients, 74 patients developed silent cerebral infarction. A significantly more prevalence of it was reported among the transradial group. In 36% of transradial group and 21% of the transfemoral group, NSE elevation was detected. Overall, higher risk of SCI was reported with transradial coronary procedures vs transfemoral route.
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