A comparison of transradial and transfemoral approaches for percutaneous coronary intervention in elderly patients based on a propensity score analysis.

Abstract:

:The transradial approach (TRA) has been used as access site for percutaneous coronary intervention (PCI) for years. However, no large sample study has evaluated the effect of TRA in elderly patients. A total of 1098 elderly patients (age ≥ 75 years) who underwent PCI by TRA or transfemoral approach were recruited. A 1:1 matched propensity score analysis was performed to minimize bias. The rates of major adverse cardiovascular events that included death, myocardial infarction (MI), and target vessel revascularization during hospitalization (1.3% vs 6.6%, P = .014) and at 1-year follow-up (6.0% vs 13.9%, P = .019) were significantly lower in the TRA group. Transradial approach was also associated with lower rates of in-hospital MI (1.3% vs 5.3%, P = .046), access-site complications (3.3% vs 9.9%, P = .018), and major bleeding (1.3% vs 5.3%, P = .046). In conclusion, TRA showed better safety in elderly patients; it should be considered as a preferred route for elderly patients.

journal_name

Angiology

journal_title

Angiology

authors

He PY,Yang YJ,Qiao SB,Xu B,Yao M,Wu YJ,Yuan JQ,Chen J,Liu HB,Dai J,Tang XR,Wang Y,Li W,Gao RL

doi

10.1177/0003319714535971

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

448-55

issue

5

eissn

0003-3197

issn

1940-1574

pii

0003319714535971

journal_volume

66

pub_type

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