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Cardiovascular Intervention and Therapeutics

, Volume 32, Issue 1, pp 18–23 | Cite as

Impact of transradial coronary intervention on bleeding complications in octogenarians

  • Khalid Tammam
  • Yuji Ikari
  • Fuminobu Yoshimachi
  • Fumie Saito
  • Walid Hassan
Original Article

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.

Keywords

Elderly Percutaneous coronary intervention Bleeding complications Transradial intervention 

Notes

Acknowledgments

We thank Ms. Chie Kato for her clerical help.

Compliance with ethical standards

Authors have nothing to disclose.

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Copyright information

© Japanese Association of Cardiovascular Intervention and Therapeutics 2016

Authors and Affiliations

  • Khalid Tammam
    • 1
  • Yuji Ikari
    • 2
  • Fuminobu Yoshimachi
    • 2
  • Fumie Saito
    • 2
  • Walid Hassan
    • 1
  1. 1.Cardiac Center of Excellence, International Medical CenterJeddahSaudi Arabia
  2. 2.Department of CardiologyTokai University School of MedicineIseharaJapan

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