Cargando…

Safety and efficacy of transradial coronary angiography and intervention in patients older than 80 years: from the Korean Transradial Intervention Prospective Registry

BACKGROUND: Radial artery access for coronary procedures is a safe and beneficial technique. However, elderly patients have been considered as a higher risk group of access site related complications compared to younger patients. This study was conducted to investigate the feasibility and safety of...

Descripción completa

Detalles Bibliográficos
Autores principales: Won, Hoyoun, Lee, Wang Soo, Kim, Sang-Wook, Cho, Byung Ryul, Youn, Young Jin, Lim, Young-Hyo, Lee, Min-Ho, Lee, Jae-Hwan, Rha, Seung-Woon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Science Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5409348/
https://www.ncbi.nlm.nih.gov/pubmed/28491081
http://dx.doi.org/10.11909/j.issn.1671-5411.2017.02.001
_version_ 1783232458701930496
author Won, Hoyoun
Lee, Wang Soo
Kim, Sang-Wook
Cho, Byung Ryul
Youn, Young Jin
Lim, Young-Hyo
Lee, Min-Ho
Lee, Jae-Hwan
Rha, Seung-Woon
author_facet Won, Hoyoun
Lee, Wang Soo
Kim, Sang-Wook
Cho, Byung Ryul
Youn, Young Jin
Lim, Young-Hyo
Lee, Min-Ho
Lee, Jae-Hwan
Rha, Seung-Woon
author_sort Won, Hoyoun
collection PubMed
description BACKGROUND: Radial artery access for coronary procedures is a safe and beneficial technique. However, elderly patients have been considered as a higher risk group of access site related complications compared to younger patients. This study was conducted to investigate the feasibility and safety of transradial coronary angiography or intervention in the elderly. METHODS: A total of 6132 patients from Korean Transradial Intervention Prospective Registry at 20 centers were analyzed. Patients were divided into the non-elderly group (n = 5667) and the elderly (≥ 80 years) group (n = 465). Using propensity score matching, the elderly group (n = 465) was compared with one-to-one matched the non-elderly group (n = 465). RESULTS: After propensity score matching, mean age was 64.3 ± 10.3 years in the non-elderly group and 83.5 ± 3.3 years in the elderly group. There was no difference of procedural characteristics, procedural and fluoroscopic times. Access site cross-over rate was not different between the non-elderly group and elderly group (7.5% vs. 6.2%, P = 0.074). Bleeding complications occurred similarly in two groups (2.6% of the non-elderly group vs. 1.9% of the elderly group, P = 0.660). Access site complications were 1.9% of the non-elderly group and 0.9% of the elderly group (P = 0.263). Both of in hospital death and cardiovascular death for one year were also similar between two groups. CONCLUSIONS: Transradial angiography or intervention was safe and feasible in elderly patients. Complication rates and clinical outcomes in elderly patients were comparable with those in non-elderly patients.
format Online
Article
Text
id pubmed-5409348
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Science Press
record_format MEDLINE/PubMed
spelling pubmed-54093482017-05-10 Safety and efficacy of transradial coronary angiography and intervention in patients older than 80 years: from the Korean Transradial Intervention Prospective Registry Won, Hoyoun Lee, Wang Soo Kim, Sang-Wook Cho, Byung Ryul Youn, Young Jin Lim, Young-Hyo Lee, Min-Ho Lee, Jae-Hwan Rha, Seung-Woon J Geriatr Cardiol Research Article BACKGROUND: Radial artery access for coronary procedures is a safe and beneficial technique. However, elderly patients have been considered as a higher risk group of access site related complications compared to younger patients. This study was conducted to investigate the feasibility and safety of transradial coronary angiography or intervention in the elderly. METHODS: A total of 6132 patients from Korean Transradial Intervention Prospective Registry at 20 centers were analyzed. Patients were divided into the non-elderly group (n = 5667) and the elderly (≥ 80 years) group (n = 465). Using propensity score matching, the elderly group (n = 465) was compared with one-to-one matched the non-elderly group (n = 465). RESULTS: After propensity score matching, mean age was 64.3 ± 10.3 years in the non-elderly group and 83.5 ± 3.3 years in the elderly group. There was no difference of procedural characteristics, procedural and fluoroscopic times. Access site cross-over rate was not different between the non-elderly group and elderly group (7.5% vs. 6.2%, P = 0.074). Bleeding complications occurred similarly in two groups (2.6% of the non-elderly group vs. 1.9% of the elderly group, P = 0.660). Access site complications were 1.9% of the non-elderly group and 0.9% of the elderly group (P = 0.263). Both of in hospital death and cardiovascular death for one year were also similar between two groups. CONCLUSIONS: Transradial angiography or intervention was safe and feasible in elderly patients. Complication rates and clinical outcomes in elderly patients were comparable with those in non-elderly patients. Science Press 2017-02 /pmc/articles/PMC5409348/ /pubmed/28491081 http://dx.doi.org/10.11909/j.issn.1671-5411.2017.02.001 Text en Institute of Geriatric Cardiology http://creativecommons.org/licenses/by-nc-sa/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License, which allows readers to alter, transform, or build upon the article and then distribute the resulting work under the same or similar license to this one. The work must be attributed back to the original author and commercial use is not permitted without specific permission.
spellingShingle Research Article
Won, Hoyoun
Lee, Wang Soo
Kim, Sang-Wook
Cho, Byung Ryul
Youn, Young Jin
Lim, Young-Hyo
Lee, Min-Ho
Lee, Jae-Hwan
Rha, Seung-Woon
Safety and efficacy of transradial coronary angiography and intervention in patients older than 80 years: from the Korean Transradial Intervention Prospective Registry
title Safety and efficacy of transradial coronary angiography and intervention in patients older than 80 years: from the Korean Transradial Intervention Prospective Registry
title_full Safety and efficacy of transradial coronary angiography and intervention in patients older than 80 years: from the Korean Transradial Intervention Prospective Registry
title_fullStr Safety and efficacy of transradial coronary angiography and intervention in patients older than 80 years: from the Korean Transradial Intervention Prospective Registry
title_full_unstemmed Safety and efficacy of transradial coronary angiography and intervention in patients older than 80 years: from the Korean Transradial Intervention Prospective Registry
title_short Safety and efficacy of transradial coronary angiography and intervention in patients older than 80 years: from the Korean Transradial Intervention Prospective Registry
title_sort safety and efficacy of transradial coronary angiography and intervention in patients older than 80 years: from the korean transradial intervention prospective registry
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5409348/
https://www.ncbi.nlm.nih.gov/pubmed/28491081
http://dx.doi.org/10.11909/j.issn.1671-5411.2017.02.001
work_keys_str_mv AT wonhoyoun safetyandefficacyoftransradialcoronaryangiographyandinterventioninpatientsolderthan80yearsfromthekoreantransradialinterventionprospectiveregistry
AT leewangsoo safetyandefficacyoftransradialcoronaryangiographyandinterventioninpatientsolderthan80yearsfromthekoreantransradialinterventionprospectiveregistry
AT kimsangwook safetyandefficacyoftransradialcoronaryangiographyandinterventioninpatientsolderthan80yearsfromthekoreantransradialinterventionprospectiveregistry
AT chobyungryul safetyandefficacyoftransradialcoronaryangiographyandinterventioninpatientsolderthan80yearsfromthekoreantransradialinterventionprospectiveregistry
AT younyoungjin safetyandefficacyoftransradialcoronaryangiographyandinterventioninpatientsolderthan80yearsfromthekoreantransradialinterventionprospectiveregistry
AT limyounghyo safetyandefficacyoftransradialcoronaryangiographyandinterventioninpatientsolderthan80yearsfromthekoreantransradialinterventionprospectiveregistry
AT leeminho safetyandefficacyoftransradialcoronaryangiographyandinterventioninpatientsolderthan80yearsfromthekoreantransradialinterventionprospectiveregistry
AT leejaehwan safetyandefficacyoftransradialcoronaryangiographyandinterventioninpatientsolderthan80yearsfromthekoreantransradialinterventionprospectiveregistry
AT rhaseungwoon safetyandefficacyoftransradialcoronaryangiographyandinterventioninpatientsolderthan80yearsfromthekoreantransradialinterventionprospectiveregistry
AT safetyandefficacyoftransradialcoronaryangiographyandinterventioninpatientsolderthan80yearsfromthekoreantransradialinterventionprospectiveregistry