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

Hoyoun Won, Wang Soo Lee, Sang Wook Kim, Byung Ryul Cho, Young Jin Youn, Young Hyo Lim, Min Ho Lee, Jae Hwan Lee, Seung-Woon Rha

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)81-86
Number of pages6
JournalJournal of Geriatric Cardiology
Volume14
Issue number2
DOIs
Publication statusPublished - 2017

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Coronary Angiography
Registries
Safety
Propensity Score
Radial Artery
Angiography
Hemorrhage

Keywords

  • The elderly patients
  • Transradial coronary angiography
  • Transradial coronary intervention

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Cardiology and Cardiovascular Medicine

Cite this

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.

In: Journal of Geriatric Cardiology, Vol. 14, No. 2, 2017, p. 81-86.

Research output: Contribution to journalArticle

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. In: Journal of Geriatric Cardiology. 2017 ; Vol. 14, No. 2. pp. 81-86.
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abstract = "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.",
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T1 - Safety and efficacy of transradial coronary angiography and intervention in patients older than 80 years

T2 - From the Korean Transradial Intervention Prospective Registry

AU - Won, Hoyoun

AU - Lee, Wang Soo

AU - Kim, Sang Wook

AU - Cho, Byung Ryul

AU - Youn, Young Jin

AU - Lim, Young Hyo

AU - Lee, Min Ho

AU - Lee, Jae Hwan

AU - Rha, Seung-Woon

PY - 2017

Y1 - 2017

N2 - 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.

AB - 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.

KW - The elderly patients

KW - Transradial coronary angiography

KW - Transradial coronary intervention

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