title: Transradial cardiac catheterization in elderly patients.
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.
authors.affiliation: St. Joseph's Hospital, Syracuse, New York 13203, USA.
authors.forename: R P
authors.initials: RP
authors.lastname: Caputo
authors.forename: A
authors.initials: A
authors.lastname: Simons
authors.forename: A
authors.initials: A
authors.lastname: Giambartolomei
authors.forename: W
authors.initials: W
authors.lastname: Grant
authors.forename: K
authors.initials: K
authors.lastname: Fedele
authors.forename: S
authors.initials: S
authors.lastname: Abraham
authors.forename: M J
authors.initials: MJ
authors.lastname: Reger
authors.forename: G D
authors.initials: GD
authors.lastname: Walford
authors.forename: P
authors.initials: P
authors.lastname: Esente
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006328:Cardiac Catheterization / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017534:Radial Artery