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Current Cardiology Reports
Erschienen in: Current Cardiology Reports 4/2022

14.03.2022 | Management of Acute Coronary Syndromes (H Jneid, Section Editor)

Radial Artery Access for Acute Coronary Syndromes: a Review of Current Evidence

verfasst von: Christopher Kovach, Subhash Banerjee, Stephen Waldo

Erschienen in: Current Cardiology Reports | Ausgabe 4/2022

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Abstract

Purpose of Review

To review the evidence supporting the use of transradial access (TRA) for percutaneous coronary intervention (PCI) in acute coronary syndromes (ACS).

Recent Findings

There have been five major randomized controlled trials (RCTs) and two recent meta-analyses comparing outcomes of TRA and femoral access (FA) in ACS. Additional studies have explored the impact of TRA on STEMI door-to-balloon (D2B) times, TRA in high-risk ACS patients, the potential conflict between TRA and coronary artery bypass graft (CABG) surgery employing the radial artery, and distal radial artery (DRA) access.

Summary

TRA is associated with a reduction in net adverse clinical events, major bleeding, acute renal injury, and access site complications compared to FA in ACS patients undergoing PCI. TRA is not associated with significant delays in STEMI D2B times that impact patient outcomes. Further studies are needed to evaluate the role of TRA in high-risk ACS patients, the interplay between TRA and radial artery CABG, and use of DRA in ACS.
Literatur
1.
Campeau L. Percutaneous radial artery approach for coronary angiography. Cathet Cardiovasc Diagn. 1989;16(1):3–7.CrossRef
2.
Radner S. Thoracal aortography by catheterization from the radial artery; preliminary report of a new technique. Acta radiol. 1948;29(2):178–80.CrossRef
3.
Kiemeneij F, Laarman GJ, Odekerken D, Slagboom T, van der Wieken R. A randomized comparison of percutaneous transluminal coronary angioplasty by the radial, brachial and femoral approaches: the access study. J Am Coll Cardiol. 1997;29(6):1269–75.CrossRef
4.
Wimmer NJ, Resnic FS, Mauri L, Matheny ME, Piemonte TC, Pomerantsev E, et al. Risk-treatment paradox in the selection of transradial access for percutaneous coronary intervention. J Am Heart Assoc. 2013;2(3):e000174.
5.
Rao SV, Ou FS, Wang TY, Roe MT, Brindis R, Rumsfeld JS, et al. Trends in the prevalence and outcomes of radial and femoral approaches to percutaneous coronary intervention: a report from the National Cardiovascular Data Registry. JACC Cardiovasc Interv. 2008;1(4):379–86.CrossRef
6.
Ferrante G, Rao SV, Jüni P, Da Costa BR, Reimers B, Condorelli G, et al. Radial versus femoral access for coronary interventions across the entire spectrum of patients with coronary artery disease: a meta-analysis of randomized trials. JACC Cardiovasc Interv. 2016;9(14):1419–34.CrossRef
7.
Rao SV, Dharma S. 25 years of transradial intervention: looking back and anticipating what is ahead. JACC Cardiovasc Interv. 2017;10(22):2266–8.CrossRef
8.
• Wimmer NJ, Cohen DJ, Wasfy JH, Rathore SS, Mauri L, Yeh RW. Delay in reperfusion with transradial percutaneous coronary intervention for ST-elevation myocardial infarction: might some delays be acceptable? Am Heart J. 2014;168(1):103–9. Decision-analytic model projecting the impact of TRA-related procedural delays on time to reperfusion in patients with STEMI demonstrating that substantial delays would be required to mitigate the mortality benefit of TRA.
9.
•• Osman M, Saleem M, Osman K, Kheiri B, Regner S, Radaideh Q, et al. Radial versus femoral access for percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction: trial sequential analysis. Am Heart J. 2020;224:98–104. Trial sequential analysis of 17 RCTs demonstrating improved mortality, access-site bleeding, MACE, and vascular complications among 11,992 STEMI patients who underwent PCI via TRA compared to FA.
10.
•• Malik AH, Yandrapalli S, Shetty SS, Zaid S, Athar A, Aronow WS, et al. Radial vs. femoral access for percutaneous coronary artery intervention in patients with ST-elevation myocardial infarction. Cardiovasc Revasc Med. 2021;28:57–64. Meta-analysis of 17 RCTs demonstrating improved 30-day mortality, major bleeding, MACE, and access-site complications among 12,118 STEMI patients who underwent PCI via TRA compared to FA.
11.
• Valle JA, Kaltenbach LA, Bradley SM, Yeh RW, Rao SV, Gurm HS, et al. Variation in the adoption of transradial access for ST-segment elevation myocardial infarction: insights from the NCDR CathPCI Registry. JACC Cardiovasc Interv. 2017;10(22):2242–54. Large analysis of 692,433 STEMI patients who underwent PCI between 2009 and 2015 demonstrating significant operator, institutional, and regional variation with adoption of TRA. TRA use across institutions was associated with decreased mortality.
12.
•• Jolly SS, Yusuf S, Cairns J, Niemelä K, Xavier D, Widimsky P, et al. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet. 2011;377(9775):1409–20. RCT comparing TRA vs. FA in 7,021 ACS patients demonstrating no significant difference in 30-day NACE between groups. Subanalysis demonstrated a NACE benefit for STEMI patients and centers with the highest TRA volumes.
13.
•• Romagnoli E, Biondi-Zoccai G, Sciahbasi A, Politi L, Rigattieri S, Pendenza G, et al. Radial versus femoral randomized investigation in ST-segment elevation acute coronary syndrome: the RIFLE-STEACS (Radial Versus Femoral Randomized Investigation in ST-Elevation Acute Coronary Syndrome) study. J Am Coll Cardiol. 2012;60(24):2481–9. RCT comparing TRA vs. FA in 1,001 STEMI patients undergoing PCI demonstrating decreased 30-day NACE and mortality with TRA.
14.
Bernat I, Horak D, Stasek J, Mates M, Pesek J, Ostadal P, et al. ST-segment elevation myocardial infarction treated by radial or femoral approach in a multicenter randomized clinical trial: the STEMI-RADIAL trial. J Am Coll Cardiol. 2014;63(10):964–72.
15.
•• Valgimigli M, Gagnor A, Calabró P, Frigoli E, Leonardi S, Zaro T, et al. Radial versus femoral access in patients with acute coronary syndromes undergoing invasive management: a randomised multicentre trial. Lancet. 2015;385(9986):2465–76. RCT comparing TRA vs. FA in 8,404 ACS patients undergoing PCI demonstrating decreased NACE, bleeding, and mortality at 30-days.
16.
•• Le May M, Wells G, So D, Chong AY, Dick A, Froeschl M, et al. Safety and Efficacy of femoral access vs radial access in ST-segment elevation myocardial infarction: the SAFARI-STEMI randomized clinical trial. JAMA Cardiol. 2020;5(2):126–34. RCT comparing TRA vs. FA in 2,292 STEMI patients undergoing PCI demonstrating no differences in 30-day mortality or other clinical end points between groups.
17.
• Mason PJ, Shah B, Tamis-Holland JE, Bittl JA, Cohen MG, Safirstein J, et al. An update on radial artery access and best practices for transradial coronary angiography and intervention in acute coronary syndrome: a scientific statement from the American Heart Association. Circ Cardiovasc Interv. 2018;11(9):e000035. Expert consensus statement on TRA in PCI including a discussion of supporting evidence and best practices.
18.
• Mehta SR, Jolly SS, Cairns J, Niemela K, Rao SV, Cheema AN, et al. Effects of radial versus femoral artery access in patients with acute coronary syndromes with or without ST-segment elevation. J Am Coll Cardiol. 2012;60(24):2490–9. Post hoc analysis of the RIVAL trial demonstrating a reduction in NACE and mortality with TRA among STEMI patients.
19.
Stone GW, Witzenbichler B, Guagliumi G, Peruga JZ, Brodie BR, Dudek D, et al. Heparin plus a glycoprotein IIb/IIIa inhibitor versus bivalirudin monotherapy and paclitaxel-eluting stents versus bare-metal stents in acute myocardial infarction (HORIZONS-AMI): final 3-year results from a multicentre, randomised controlled trial. Lancet. 2011;377(9784):2193–204.
20.
Steg PG, van ’t Hof A, Hamm CW, Clemmensen P, Lapostolle F, Coste P, et al. Bivalirudin started during emergency transport for primary PCI. N Engl J Med. 2013;369(23):2207–17.
21.
Shahzad A, Kemp I, Mars C, Wilson K, Roome C, Cooper R, et al. Unfractionated heparin versus bivalirudin in primary percutaneous coronary intervention (HEAT-PPCI): an open-label, single centre, randomised controlled trial. Lancet. 2014;384(9957):1849–58.CrossRef
22.
•• Valgimigli M, Frigoli E, Leonardi S, Vranckx P, Rothenbühler M, Tebaldi M, et al. Radial versus femoral access and bivalirudin versus unfractionated heparin in invasively managed patients with acute coronary syndrome (MATRIX): final 1-year results of a multicentre, randomised controlled trial. Lancet. 2018;392(10150):835–48. RCT comparing TRA vs. FA in 8,404 ACS patients undergoing PCI demonstrating decreased NACE at 1-year.
23.
Vranckx P, Frigoli E, Rothenbühler M, Tomassini F, Garducci S, Andò G, et al. Radial versus femoral access in patients with acute coronary syndromes with or without ST-segment elevation. Eur Heart J. 2017;38(14):1069–80.
24.
Andò G, Cortese B, Russo F, Rothenbühler M, Frigoli E, Gargiulo G, et al. Acute kidney injury after radial or femoral access for invasive acute coronary syndrome management: AKI-MATRIX. J Am Coll Cardiol. 2017.
25.
Rothenbühler M, Valgimigli M, Odutayo A, Frigoli E, Leonardi S, Vranckx P, et al. Association of acute kidney injury and bleeding events with mortality after radial or femoral access in patients with acute coronary syndrome undergoing invasive management: secondary analysis of a randomized clinical trial. Eur Heart J. 2019;40(15):1226–32.CrossRef
26.
27.
Bradley SM, Rao SV, Curtis JP, Parzynski CS, Messenger JC, Daugherty SL, et al. Change in hospital-level use of transradial percutaneous coronary intervention and periprocedural outcomes: insights from the national cardiovascular data registry. Circ Cardiovasc Qual Outcomes. 2014;7(4):550–9.CrossRef
28.
Wetterslev J, Jakobsen JC, Gluud C. Trial Sequential Analysis in systematic reviews with meta-analysis. BMC Med Res Methodol. 2017;17(1):39.CrossRef
29.
Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018;39(2):119–77.CrossRef
30.
Collet JP, Thiele H, Barbato E, Barthélémy O, Bauersachs J, Bhatt DL, et al. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J. 2021;42(14):1289–367.CrossRef
31.
• Shroff AR, Gulati R, Drachman DE, Feldman DN, Gilchrist IC, Kaul P, et al. SCAI expert consensus statement update on best practices for transradial angiography and intervention. Catheter Cardiovasc Interv. 2020;95(2):245-52. Expert consensus statement on TRA in PCI including a discussion of supporting evidence and best practices.
32.
Baklanov DV, Kaltenbach LA, Marso SP, Subherwal SS, Feldman DN, Garratt KN, et al. The prevalence and  outcomes of transradial percutaneous coronary intervention for ST-segment elevation myocardial infarction: analysis from the National Cardiovascular Data Registry (2007 to 2011). J Am Coll Cardiol. 2013;61(4):420–6.
33.
Mamas MA, Ratib K, Routledge H, Neyses L, Fraser DG, de Belder M, et al. Influence of arterial access site selection on outcomes in primary percutaneous coronary intervention: are the results of randomized trials achievable in clinical practice? JACC Cardiovasc Interv. 2013;6(7):698–706.CrossRef
34.
Ratib K, Mamas MA, Anderson SG, Bhatia G, Routledge H, De Belder M, et al. Access site practice and procedural outcomes in relation to clinical presentation in 439,947 patients undergoing percutaneous coronary intervention in the United kingdom. JACC Cardiovasc Interv. 2015;8(1 Pt A):20–9.
35.
Chiarito M, Cao D, Nicolas J, Roumeliotis A, Power D, Chandiramani R, et al. Radial versus femoral access for coronary interventions: an updated systematic review and meta-analysis of randomized trials. Catheter Cardiovasc Interv. 2021;97(7):1387–96.CrossRef
36.
Yeh RW, Kirtane AJ, Rao SV. Incentivizing transradial access for primary percutaneous coronary intervention while maintaining timely reperfusion. JAMA Cardiol. 2017;2(10):1057–8.CrossRef
37.
Feldman DN, Swaminathan RV, Kaltenbach LA, Baklanov DV, Kim LK, Wong SC, et al. Adoption of radial access and comparison of outcomes to femoral access in percutaneous coronary intervention: an updated report from the national cardiovascular data registry (2007–2012). Circulation. 2013;127(23):2295–306.CrossRef
38.
Hess CN, Peterson ED, Neely ML, Dai D, Hillegass WB, Krucoff MW, et al. The learning curve for transradial percutaneous coronary intervention among operators in the United States: a study from the National Cardiovascular Data Registry. Circulation. 2014;129(22):2277–86.CrossRef
39.
Dehmer GJ, Weaver D, Roe MT, Milford-Beland S, Fitzgerald S, Hermann A, et al. A contemporary view of diagnostic cardiac catheterization and percutaneous coronary intervention in the United States: a report from the CathPCI Registry of the National Cardiovascular Data Registry, 2010 through June 2011. J Am Coll Cardiol. 2012;60(20):2017–31.CrossRef
40.
Huded CP, Kapadia SR, Ballout JA, Krishnaswamy A, Ellis SG, Raymond R, et al. Association of adoption of transradial access for percutaneous coronary intervention in ST elevation myocardial infarction with door-to-balloon time. Catheter Cardiovasc Interv. 2020;96(2):E165-e73.CrossRef
41.
Singh S, Singh M, Grewal N, Khosla S. Transradial vs transfemoral percutaneous coronary intervention in ST-segment elevation myocardial infarction: a systemic review and meta-analysis. Can J Cardiol. 2016;32(6):777–90.CrossRef
42.
• Gragnano F, Branca M, Frigoli E, Leonardi S, Vranckx P, Di Maio D, et al. Access-site crossover in patients with acute coronary syndrome undergoing invasive management. JACC Cardiovasc Interv. 2021;14(4):361-73. Post hoc analysis of the MATRIX trial demonstrating that crossover from TRA to FA abolishes bleeding benefits offered by TRA but does not increase the risk of MACE or NACE compared with successful TRA.
43.
Sandoval Y, Bell MR, Gulati R. Transradial artery access complications. Circ Cardiovasc Interv. 2019;12(11):e007386.
44.
Moussa Pacha H, Alahdab F, Al-Khadra Y, Idris A, Rabbat F, Darmoch F, et al. Ultrasound-guided versus palpation-guided radial artery catheterization in adult population: a systematic review and meta-analysis of randomized controlled trials. Am Heart J. 2018;204:1–8.CrossRef
45.
Nguyen P, Makris A, Hennessy A, Jayanti S, Wang A, Park K, et al. Standard versus ultrasound-guided radial and femoral access in coronary angiography and intervention (SURF): a randomised controlled trial. EuroIntervention. 2019;15(6):e522–30.CrossRef
46.
Rahman F, Jneid H. The continuing promise of the radial access for coronary interventions. Catheter Cardiovasc Interv. 2021;97(7):1397–8.CrossRef
47.
Guedeney P, Sorrentino S, Vogel B, Baber U, Claessen BE, Mehran R. Assessing and minimizing the risk of percutaneous coronary intervention in patients with chronic kidney disease. Expert Rev Cardiovasc Ther. 2018;16(11):825–35.CrossRef
48.
• Vora AN, Stanislawski M, Grunwald GK, Plomondon ME, Rumsfeld JS, Maddox TM, et al. Association Between chronic kidney disease and rates of transfusion and progression to end-stage renal disease in patients undergoing transradial versus transfemoral cardiac catheterization-an analysis from the veterans affairs clinical assessment reporting and tracking (CART) program. J Am Heart Assoc. 2017;6(4). Large analysis of 229,108 CKD patients in the VA Healthcare System who underwent coronary angiography and/or PCI between 2007 and 2014 showing that TRA is associated with decrease risk of blood transfusion and progression to dialysis compared to FA.
49.
• Bagai J, Little B, Banerjee S. Association between arterial access site and anticoagulation strategy on major bleeding and mortality: a historical cohort analysis in the Veteran population. Cardiovasc Revasc Med. 2018;19(1 Pt B):95-101. Analysis of 7,330 patients with anemia in the VA Healthcare System who underwent PCI between 2009 and 2015 showing no differences in outcomes between TRA and FA.
50.
Li H, Rha SW, Choi BG, Shim MS, Choi SY, Choi CU, et al. Transradial versus transfemoral intervention in ST-segment elevation myocardial infarction patients in Korean population. Korean J Intern Med. 2018;33(4):716–26.
51.
Bagai J, Hess E, Penny WF, Plomondon ME, Waldo SW. Outcomes of Transradial PCI compared to Transfemoral PCI in veterans with anemia: insight from the VA Clinical Assessment, Reporting and Tracking (CART) program. Cardiovasc Revasc Med. 2019;20(11):990–6.CrossRef
52.
Michael TT, Alomar M, Papayannis A, Mogabgab O, Patel VG, Rangan BV, et al. A randomized comparison of the transradial and transfemoral approaches for coronary artery bypass graft angiography and intervention: the RADIAL-CABG Trial (RADIAL Versus Femoral Access for Coronary Artery Bypass Graft Angiography and Intervention). JACC Cardiovasc Interv. 2013;6(11):1138–44.CrossRef
53.
Rigattieri S, Sciahbasi A, Brilakis ES, Burzotta F, Rathore S, Pugliese FR, et al. Meta-analysis of radial versus femoral artery approach for coronary procedures in patients with previous coronary artery bypass grafting. Am J Cardiol. 2016;117(8):1248–55.CrossRef
54.
• Manly DA, Karrowni W, Rymer JA, Kaltenbach LA, Swaminathan RV, Messenger JC, et al. Characteristics and outcomes of patients with history of CABG undergoing cardiac catheterization via the radial versus femoral approach. JACC Cardiovasc Interv. 2021;14(8):907–16. Large analysis of 1,279,058 patients with prior CABG who underwent diagnostic angiography and/or PCI between 2009 and 2018 showing that TRA is associated with increased PCI success and decreased bleeding, vascular complications, and contrast volume compared to FA.
55.
Shavadia J, Welsh R, Gershlick A, Zheng Y, Huber K, Halvorsen S, et al. Relationship between arterial access and outcomes in ST-elevation myocardial infarction with a pharmacoinvasive versus primary percutaneous coronary intervention strategy: insights from the STrategic Reperfusion Early After Myocardial Infarction (STREAM) Study. J Am Heart Assoc. 2016;5(6).
56.
• Rashid M, Rushton CA, Kwok CS, Kinnaird T, Kontopantelis E, Olier I, et al. Impact of access site practice on clinical outcomes in patients undergoing percutaneous coronary intervention following thrombolysis for ST-segment elevation myocardial infarction in the United Kingdom: an insight from the British Cardiovascular Intervention Society Dataset. JACC Cardiovasc Interv. 2017;10(22):2258–65. Analysis of 10,209 STEMI patients who received thrombolytic therapy and PCI between 2007 and 2014 showing that TRA was associated with significantly reduced major bleeding and 30-day mortality.
57.
• Schoenfeld MS, Kassas I, Shah B. Transradial artery access in percutaneous coronary intervention for ST-segment elevation myocardial infarction and cardiogenic shock. Curr Treat Options Cardiovasc Med. 2018;20(2):11. Review of studies comparing TRA and FA in patients with STEMI and CS discussing differences in mortality, bleeding events, procedural success, radiation exposure, and access-site crossover between approaches.
58.
Rodriguez-Leor O, Fernandez-Nofrerias E, Carrillo X, Mauri J, Oliete C, Rivas Mdel C, et al. Transradial percutaneous coronary intervention in cardiogenic shock: a single-center experience. Am Heart J. 2013;165(3):280–5.
59.
Pancholy SB, Palamaner Subash Shantha G, Romagnoli E, Kedev S, Bernat I, Rao SV, et al. Impact of access site choice on outcomes of patients with cardiogenic shock undergoing percutaneous coronary intervention: a systematic review and meta-analysis. Am Heart J. 2015;170(2):353–61.
60.
Romagnoli E, De Vita M, Burzotta F, Cortese B, Biondi-Zoccai G, Summaria F, et al. Radial versus femoral approach comparison in percutaneous coronary intervention with intraaortic balloon pump support: the RADIAL PUMP UP registry. Am Heart J. 2013;166(6):1019–26.CrossRef
61.
Kolte D, Spence N, Puthawala M, Hyder O, Tuohy CP, Davidson CB, et al. Association of radial versus femoral access with contrast-induced acute kidney injury in patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction. Cardiovasc Revasc Med. 2016;17(8):546–51.CrossRef
62.
Gaudino M, Burzotta F, Bakaeen F, Bertrand O, Crea F, Di Franco A, et al. The radial artery for percutaneous coronary procedures or surgery? J Am Coll Cardiol. 2018;71(10):1167–75.CrossRef
63.
Ruzieh M, Moza A, Siddegowda Bangalore B, Schwann T, Tinkel JL. Effect of transradial catheterisation on patency rates of radial arteries used as a conduit for coronary bypass. Heart Lung Circ. 2017;26(3):296–300.CrossRef
64.
• Mounsey CA, Mawhinney JA, Werner RS, Taggart DP. Does previous transradial catheterization preclude use of the radial artery as a conduit in coronary artery bypass surgery? Circulation. 2016;134(9):681–8. Review of the potential conflicts between TRA for cardiac catheterization and use of the radial artery for CABG including a discussion of the evidence for endothelial damage with TRA and recommended waiting periods between TRA and CABG.
65.
Aldea GS, Bakaeen FG, Pal J, Fremes S, Head SJ, Sabik J, et al. The society of thoracic surgeons clinical practice guidelines on arterial conduits for coronary artery bypass grafting. Ann Thorac Surg. 2016;101(2):801–9.
66.
Kiemeneij F. Left distal transradial access in the anatomical snuffbox for coronary angiography (ldTRA) and interventions (ldTRI). EuroIntervention. 2017;13(7):851–7.CrossRef
67.
Sgueglia GA, Di Giorgio A, Gaspardone A, Babunashvili A. Anatomic basis and physiological rationale of distal radial artery access for percutaneous coronary and endovascular procedures. JACC Cardiovasc Interv. 2018;11(20):2113–9.CrossRef
68.
• Corcos T. Distal radial access for coronary angiography and percutaneous coronary intervention: a state-of-the-art review. Catheter Cardiovasc Interv. 2019;93(4):639–44. Review of DRA in PCI including discussion of technical aspects of the procedure and comparison with PRA.
69.
Eid-Lidt G, Rivera Rodríguez A, Jimenez Castellanos J, Farjat Pasos JI, Estrada López KE, Gaspar J. Distal radial artery approach to prevent radial artery occlusion trial. JACC Cardiovasc Interv. 2021;14(4):378–85.
70.
Soydan E, Akın M. Left distal radial artery access site in primary percutaneous coronary intervention: is it safe? Balkan Med J. 2020;37(5):276–80.PubMedPubMedCentral
71.
Kim Y, Lee JW, Lee SY, Bae JW, Lee SJ, Jeong MH, et al. Feasibility of primary percutaneous coronary intervention via the distal radial approach in patients with ST-elevation myocardial infarction. Korean J Intern Med. 2021;36(Suppl 1):S53-s61.CrossRef
72.
Bernat I. Distal radial approach: the next promising step in an even more minimally invasive strategy. JACC Cardiovasc Interv. 2021;14(4):386–7.CrossRef
Metadaten
Titel
Radial Artery Access for Acute Coronary Syndromes: a Review of Current Evidence
verfasst von
Christopher Kovach
Subhash Banerjee
Stephen Waldo
Publikationsdatum
14.03.2022
Verlag
Springer US
Erschienen in
Current Cardiology Reports / Ausgabe 4/2022
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-022-01656-x

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