Satisfaction and acceptance after transradial coronary intervention in elderly

Abstract

The purpose of our study was to evaluate the clinical outcome and patient's satisfaction in elderly patients undergoing transradial coronary intervention. From July 1998 to June 1999, 24 patients (18 males, 6 females) with a mean age of 70 ± 4.9 years (range: 65–79 years) underwent elective transradial coronary interventions with 6F catheters. All patients had undergone previous 6F-transfemoral diagnostic coronary angiography. Procedural success was 100% and no major adverse cardiovascular event occurred. All patients were ambulatory immediately after the procedure and discharged early next morning. There was no vascular complication during the period immediately following the procedure, or on follow-up. The mean satisfaction grade was 1.4 ± 0.7 for the transradial interventional approach, and 4.3 ± 0.6 for the transfemoral diagnostic approach (p < 0.05). Transradial coronary intervention was judged to be safe and effective in this study. It appeared more acceptable than transfemoral approach amongst the elderly patients who were particularly susceptible to the adverse sequel of immobilization.