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Published in: Journal of Cardiovascular Translational Research 1/2014

01-02-2014

Scientific Foundation and Possible Implications for Practice of the Minimizing Adverse Haemorrhagic Events by Transradial Access Site and Systemic Implementation of AngioX (MATRIX) Trial

Authors: Marco Valgimigli, Paolo Calabrò, Bernardo Cortese, Enrico Frigoli, Stefano Garducci, Paolo Rubartelli, Giuseppe Andò, Andrea Santarelli, Mario Galli, Roberto Garbo, Alessandra Repetto, Salvatore Ierna, Carlo Briguori, Ugo Limbruno, Roberto Violini, Andrea Gagnor, on behalf of the MATRIX investigators

Published in: Journal of Cardiovascular Translational Research | Issue 1/2014

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Abstract

Early invasive management and the use of combined antithrombotic therapies have decreased the risk of recurrent ischaemia in patients with acute coronary syndrome (ACS) but have also increased the bleeding risk. Transradial intervention (TRI) and bivalirudin infusion compared to transfemoral intervention (TFI) or unfractionated heparin (UFH) plus glycoprotein IIb/IIIa inhibitors (GPI) decrease bleeding complications in patients with ACS. To what extent, a bleeding preventive strategy incorporating at least one of these two treatment options translates into improved outcomes is a matter of debate. The Minimizing Adverse Haemorrhagic Events by Transradial Access Site and Systemic Implementation of AngioX study is a large-scale, multicenter, prospective, open-label trial, conducted at approximately 100 sites in Europe aiming to primarily assess whether TRI and bivalirudin infusion, as compared to TFI and UFH plus provisional GPI, decrease the 30-day incidence of death, myocardial infarction or stroke across the whole spectrum of ACS patients.
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Metadata
Title
Scientific Foundation and Possible Implications for Practice of the Minimizing Adverse Haemorrhagic Events by Transradial Access Site and Systemic Implementation of AngioX (MATRIX) Trial
Authors
Marco Valgimigli
Paolo Calabrò
Bernardo Cortese
Enrico Frigoli
Stefano Garducci
Paolo Rubartelli
Giuseppe Andò
Andrea Santarelli
Mario Galli
Roberto Garbo
Alessandra Repetto
Salvatore Ierna
Carlo Briguori
Ugo Limbruno
Roberto Violini
Andrea Gagnor
on behalf of the MATRIX investigators
Publication date
01-02-2014
Publisher
Springer US
Published in
Journal of Cardiovascular Translational Research / Issue 1/2014
Print ISSN: 1937-5387
Electronic ISSN: 1937-5395
DOI
https://doi.org/10.1007/s12265-013-9537-1

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