Transradial cardiac catheterization in elderly patients

Ronald P. Caputo, Alan Simons, Alessandro Giambartolomei, William Grant, Kathleen Fedele, Sunil Abraham, Mark J. Reger, Gary D. Walford, Paolo Esente

Research output: Contribution to journalArticlepeer-review

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. (C) 2000 Wiley-Liss, Inc.

Original languageEnglish (US)
Pages (from-to)287-290
Number of pages4
JournalCatheterization and Cardiovascular Interventions
Volume51
Issue number3
DOIs
StatePublished - 2000
Externally publishedYes

Keywords

  • Cardiac catheterization
  • Elderly
  • Radial artery
  • Transradial

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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