1. Impact of transradial coronary intervention on bleeding complications in octogenarians.
- Author
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Tammam K, Ikari Y, Yoshimachi F, Saito F, and Hassan W
- Subjects
- Aged, 80 and over, Female, Follow-Up Studies, Humans, Incidence, Japan epidemiology, Male, Postoperative Hemorrhage epidemiology, Radial Artery, Retrospective Studies, Survival Rate trends, Time Factors, Coronary Artery Disease surgery, Percutaneous Coronary Intervention adverse effects, Postoperative Hemorrhage etiology
- Abstract
Percutaneous coronary intervention (PCI) in the elderly is a major hospital burden since this group of patients exhibits high mortality rates and many comorbidities. The aim of this study was to analyze the impact of a transradial intervention (TRI) approach for PCI on bleeding complications in octogenarians. We retrospectively analyzed a consecutive cohort of 2530 patients who underwent PCI at a tertiary care center in Japan. Octogenarians constituted 12 % (291 cases) of the total PCI cases during the study period. Bleeding complications and all-cause mortality were observed at 30 days after PCI. Average age was 83 ± 3 years and female gender was 32 %. Stable coronary artery disease was 59 %. TRI was performed in 218 patients (75 %) and transfemoral intervention (TFI) in 73 (25 %). Bleeding Academic Research Consortium (BARC) major bleeding unrelated to bypass surgery were observed in 7.6 %, which were significantly lower in TRI than TFI (5.1 vs. 15.1 %, P = 0.005). The 30-day mortality rate was significantly low in patients without bleeding (4.9 vs. 31 %, p < 0.0001). In octogenarians, major bleeding complication was significant at 30 days after PCI. TRI had lower bleeding complication rate than TFI in this population. Octogenarians may be a subgroup of patients who derive benefits from TRI.
- Published
- 2017
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