Comparison of the risk of vascular complications associated with femoral and radial access coronary catheterization procedures in obese versus nonobese patients.
In this retrospective review of 5,234 cardiac catheterizations and percutaneous coronary interventions, the rate of vascular complications was highest in extremely thin and morbidly obese patients and lowest in moderately obese patients, consistent with the previously reported "obesity paradox." The use of transradial access and arterial access closure devices was associated with reduced vascular complications in the population of obese patients.
Cox
Nicholas
N
Cardiovascular Division (Cardiac Catheterization Laboratory), Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
Resnic
Frederic S
FS
Popma
Jeffrey J
JJ
Simon
Daniel I
DI
Eisenhauer
Andrew C
AC
Rogers
Campbell
C
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D015992:Body Mass Index; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000628:therapy; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D005268:Femoral Vein / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology* / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology*; D017534:Radial Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D012189:Retrospective Studies; D012307:Risk Factors; D013223:Statistics as Topic; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000453:epidemiology* / Q000209:etiology*