Transradial approach for diagnostic cerebral angiograms in the elderly: a comparative observational study.
Publication/Presentation Date
12-1-2020
Abstract
BACKGROUND: The transradial approach (TRA) reduces mortality, morbidity, access site complications, hospital cost, and length of stay while maximizing patient satisfaction. We aimed to assess the technical success and safety of TRA for elderly patients (aged ≥75 years).
METHODS: A retrospective chart review and comparative analysis was performed for elderly patients undergoing a diagnostic cerebral angiogram performed via TRA versus transfemoral approach (TFA). Also, a second comparative analysis was performed among the TRA cohort between elderly patients and their younger counterparts.
RESULTS: Comparative analysis in the elderly (TRA vs TFA) showed no significant differences for contrast dose per vessel (43.7 vs 34.6 mL, P=0.106), fluoroscopy time per vessel (5.7 vs 5.2 min, P=0.849), procedure duration (59.8 vs 65.2 min, P=0.057), conversion rate (5.8% vs 2.9%, P=0.650), and access site complications (2.3% vs 2.9%, P=1.00). Radiation exposure per vessel (18.9 vs 51.9 Gy cm
CONCLUSIONS: TRA is a technically feasible and safe option for diagnostic neurointerventional procedures in the elderly. Our small elderly cohort was not powered enough to show a significant difference in terms of access site complications between TRA and TFA.
Volume
12
Issue
12
First Page
1235
Last Page
1241
ISSN
1759-8486
Published In/Presented At
Sweid, A., Das, S., Weinberg, J. H., E L Naamani, K., Kim, J., Curtis, D., Joffe, D., Hiranaka, C. G., Vijaywargiya, D., Sioka, C., Oneissi, M., El Hajjar, A. H., Gooch, M. R., Herial, N., Tjoumakaris, S. I., Rosenwasser, R. H., & Jabbour, P. (2020). Transradial approach for diagnostic cerebral angiograms in the elderly: a comparative observational study. Journal of neurointerventional surgery, 12(12), 1235–1241. https://doi.org/10.1136/neurintsurg-2020-016140
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
32769110
Department(s)
Administration and Leadership
Document Type
Article