MATRIX SCORE

The MATRIX Score was developed to predict the risk of radial access crossover in patients with acute coronary syndromes undergoing invasive management.

points

MATRIX Score

Risk of radial crossover

High risk

(≥41 points)

Age

Height

Current smoker

History of renal failure

Previous CABG CABG: coronary artery bypass graft

Clinical presentation

Killip Class

Radial Experience Defined as the percentage (%) of radial intervention performed during 1 year at the institution (or by the operator): High (80-98%), Intermediate (65-79%), Low (15-64%)

Practical recommendations for patients at high risk of radial crossover (MATRIX Score ≥41):
- Counsel patients on the risk of radial failure during the informed consent process;
- Consider the use of ultrasound-guided radial artery cannulation;
- Select materials/techniques that can facilitate vascular navigation (i.e., hydrophilic sheaths, guidewires, and catheters, dedicated radial shapes);
- Examine femoral arteries to plan safe alternative access if radial fails;
- If possible, schedule the procedure when expert radial operators are available.

Disclaimer

This risk scoring tool is intended for use by clinicians, in conjunction with individual patient assessment.
We assume no responsibility for how you use or interpret the MATRIX Score or any other information provided on this website.

MATRIX SCORE

Disclaimer

This risk scoring tool is intended for use by clinicians, in conjunction with individual patient assessment.We assume no responsibility for how you use or interpret the MATRIX Score or any other information provided on this website.

This risk scoring tool is intended for use by clinicians, in conjunction with individual patient assessment.
We assume no responsibility for how you use or interpret the MATRIX Score or any other information provided on this website.