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Transradial cardiac catheterization in elderly patients
Author(s) -
Caputo Ronald P.,
Simons Alan,
Giambartolomei Alessandro,
Grant William,
Fedele Kathleen,
Abraham Sunil,
Reger Mark J.,
Walford Gary D.,
Esente Paolo
Publication year - 2000
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/1522-726x(200011)51:3<287::aid-ccd8>3.0.co;2-3
Subject(s) - medicine , cardiac catheterization , body surface area , cardiology , surgery
Abstract The safety and efficacy of transradial cardiac catheterization in elderly patients is unknown. This study examines procedure success rates for transradial catheterization in appropriately selected patients < 70 (n = 195) and ≥ 70 (n = 83) years old. Elderly patients were less likely to be selected for the transradial approach (46% vs. 61%; P = 0.05). Although patients ≥ 70 years old were more often female (39.7% vs. 24.1%; P = 0.008) and had a smaller body surface area (1.89 ± 0.18 vs. 2.01 ± 0.24 m2; P = 0.001), procedure success rates did not differ (95.1% vs. 94.8%; P = NS). Procedure‐related variables including procedure time (15.4 ± 12.6 vs. 16.1 ± 11.6 min; P = NS), amount of radiographic contrast (90.1 ± 31.9 vs. 86.4 ± 29.8 cc; P = NS), and number of catheters used (1.5 ± 0.9 vs. 1.5 ± 0.7; P = NS) were similar between groups. We conclude that transradial catheterization can be safely and effectively performed in selected elderly patients. Cathet. Cardiovasc. Intervent. 51:287–290, 2000. © 2000 Wiley‐Liss, Inc.