Comparison of short-and long-term outcome after percutaneous transluminal interventional therapy in octogenarians with coronary artery disease from radial or femoral approach
10.3760/cma.j.issn.0253-3758.2013.09.003
- VernacularTitle:经不同途径介入治疗高龄冠心病患者的短期和长期效果
- Keywords:
Angioplasty,transluminal,percutaneous coronary;
Radial artery;
Femoral artery
- From:
Chinese Journal of Cardiology
2013;41(9):736-739
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the short-term and long-term outcome after percutaneous coronary intervention (PCI) between transradial intervention (TRI) and transfemoral intervention (TFI) in elderly patients.Methods From January 2005 to December 2010,488 consecutive elderly patients (≥ 80years old) were enrolled in this retrospective study.Patients were divided into TRI group (n =235,PCIs were performed trans-radial approach) and TFI group (n =253,PCIs were performed trans-femoral approach).Efficacy and safety data were compared between the two groups.Results There were no differences in success rate of stenting,procedure time,contrast amount,rates of contrast-induced nephropathy,major adverse cardiovascular events during hospitalization,at one year follow up and at two years follow up.Lower vascular complications were associated with TRI approach [17.9％ (42/253)vs.26.9％ (68/253),P ＜0.05],especially in TIMI major bleeding ratio [1.3％ (3/235) vs.4.7％ (12/253),P＜0.05],TIMI minor bleeding [5.1％ (12/235) vs.15.8％ (40/253),P＜0.01],and time lying in bed [3.6 (2.8-4.2)h vs.24.4 (24.0-25.1)h,P＜0.01] and hospitalization [3.0(3.0-4.0)d vs.5.0 (5.0-6.0)d,P ＜0.01],and higher rates of crossover approach were associated with TRI [11.5％(27/235) vs.2.0(5/253),P ＜0.01].Conclusion TRI is as feasible,safe and effective as TFI in elderly patients during short-term and long-term follow up,and TRI is associated with higher rates of crossover approach.
