Research Article

Glycoprotein IIb/IIIa Inhibitors May Modulate the Clinical Benefit of Radial Access as Compared to Femoral Access in Primary Percutaneous Coronary Intervention: A Meta-Regression and Meta-Analysis of Randomized Trials

Table 1

Characteristics of randomized controlled trials included in the meta-analysis.

Study, yearFemoral arm, n (%)Radial arm, n (%)Mean age (SD)Male gender (%)Follow-up lengthGP IIb/IIIa in femoral arm, n (%)Gp IIb\IIIa in radial arm, n (%)Overall Gp IIb/IIIa use, n (%)Femoral VCD, n (%)Major bleeding definitionStudy quality

TEMPURA, 200372 (48.3)77 (51.7)66 (11)121 (81.2)In hospital0 (0.0)0 (0.0)0.0NRTIMI9
RADIAL-AMI, 200525 (50.0)25 (50.0)55 (12)44 (88)30 days23 (92.0)24 (96.0)94.02 (8.0)Intracranial or intraperitoneal bleeding, a drop in hemoglobin ≥ 5 g/dl or hematocrit ≥ 15% or whole blood or packed red cell transfusions8
FARMI, 200757 (50.0)57 (50)59 (12)96 (84.2)In hospital57 (100.0)57 (100.0)100.00 (0)TIMI8
Yan et al., 200846 (44.7)57 (55.3)70.8 (8)77 (74.8)30 days46 (100.0)57 (100.0)100.00 (0)TIMI7
Gan et al., 2009105 (53.8)90 (46.2)52.9 (12)157 (80.5)In hospital36 (34.3)28 (31.1)32.80 (0)Not specified6
RADIAMI, 200950 (50.0)50 (50.0)59.5 (91.1)68 (68)In hospital21 (42.0)22 (44.0)43.0NRFatal bleeding, bleeding requiring blood transfusion, operation, or resulting in >3 gr/dl hemoglobin drop, intracranial hemorrhage8
Hou et al., 2010100 (50.0)100 (50.0)65.6 (8)141 (70.5)30 days20 (20.0)28 (28.0)24.00 (0)Hemoglobin drop ≥ 2 mmol/l, blood transfusion, need for vascular repair6
RADIAMI II, 201159 (54.6)49 (45.4)59.6 (10)69 (64)In hospital32 (54)25 (51.0)53.055 (93)Bleeding resulting in death or needing transfusion or surgical intervention, hemoglobin drop > 3 gr/dl, intercranial bleeding8
RIVAL, 20121003 (51.2)955 (48.8)60 (11)1548 (79.1)30 days312 (31.1)329 (34.5)32.7NRTIMI and ACUITY10
RIFLE-STEACS, 2012501 (50.1)500 (49.9)65 (10)734 (73.4)30 days350 (69.9)337 (67.4)68.6NRTIMI10
STEMI-RADIAL, 2014359 (50.8)348 (49.2)62.1 (11.5)546 (77)30 days162 (45.1)155 (45.5)44.8136 (38)HORIZONS-AMI10
OCEAN RACE, 201451 (49.5)52 (50.5)62 (11)79 (77)In hospital30 (58.8)31 (59.6)59.2NRREPLACE-28
MATRIX, 20172009 (50.1)2001 (49.9)63.9 (12)3093 (77.1)30 days383 (19.1)435 (21.7)20.4NRBARC, TIMI, and GUSTO10
SAFARI-STEMI, 20201156 (50.4)1136 (49.6)62 (12)1784 (77.8)30 days68 (5.9)69 (6.1)6.0789 (68)TIMI and BARC10