title: Comparison of transradial and transfemoral approaches for coronary angiography and angioplasty in octogenarians (the OCTOPLUS study).
abstract: This prospective multicenter study was conducted to compare the incidence of significant vascular complications delaying hospital discharge after coronary angiography and percutaneous coronary intervention (PCI) between the radial approach (n = 192) and the femoral approach (n = 185) in octogenarians, a rapidly growing population with numerous risk factors for complications. By intention-to-treat analysis, the incidence of vascular complications was found to be significantly less in the radial group (1.6% vs 6.5%, p = 0.03), without any decrease in the efficacy of PCI and only a slight increase in procedure duration for coronary angiography. All vascular complications, except for 1, occurred in patients treated with the transfemoral approach.
authors.affiliation: Institut Cardiovasculaire Paris Sud, Institut Jacques Cartier, Massy, France. y.louvard@icps.com.fr
authors.forename: Yves
authors.initials: Y
authors.lastname: Louvard
authors.forename: Hakim
authors.initials: H
authors.lastname: Benamer
authors.forename: Philippe
authors.initials: P
authors.lastname: Garot
authors.forename: David
authors.initials: D
authors.lastname: Hildick-Smith
authors.forename: Christophe
authors.initials: C
authors.lastname: Loubeyre
authors.forename: Stefano
authors.initials: S
authors.lastname: Rigattieri
authors.forename: Mehran
authors.initials: M
authors.lastname: Monchi
authors.forename: Thierry
authors.initials: T
authors.lastname: Lefèvre
authors.forename: Martial
authors.initials: M
authors.lastname: Hamon
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000453:epidemiology / Q000209:etiology; D010351:Patient Discharge; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011237:Predictive Value of Tests; D011446:Prospective Studies; D017534:Radial Artery / Q000000981:diagnostic imaging* / Q000601:surgery*; D016019:Survival Analysis; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000453:epidemiology / Q000209:etiology