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Published on: September 20, 2020
Transradial approach for coronary procedures in the elderly population
Shamsi Aamir1, Shah Mohammed1, Rathore Sudhir1
1Department of Cardiology, Frimley Health NHS Foundation Trust, Camberley, Surrey, UK.
Insights
Transradial cardiac catheterization offers easier recovery and fewer complications for elderly patients. This approach is recommended over transfemoral access due to reduced vascular issues and shorter hospital stays.
Area of Science:
- Cardiology
- Vascular Access Techniques
Background:
- Transradial cardiac catheterization offers advantages like improved hemostasis, patient comfort, and early ambulation.
- Limited data exists on transradial access specifically within the elderly population, who are at higher risk for vascular complications.
Approach:
- This review synthesizes existing literature comparing transradial access to transfemoral and other approaches in elderly patients.
Key Points:
- Transradial approach demonstrates equal efficacy to the transfemoral approach in the elderly.
- It significantly reduces vascular complications, hospital stay duration, and mobilization times.
- The transradial approach also leads to fewer adverse cardiac events.
Conclusions:
- The transradial approach is a safer and more effective vascular access site for cardiac catheterization in the elderly population.
- It should be considered the preferred method due to its favorable safety and efficacy profile.
Abstract:
Transradial cardiac catheterisation has been reported to be more beneficial compared to other approaches with easier and safer post-procedural haemostasis, better patient comfort, earlier ambulation and possibility of performing procedure and discharge on the same day. There is only limited data examining transradial access in the elderly population. In this review we looked at the available literature to give an insight into how the transradial approach compared to the transfemoral and other approaches in the elderly population. Elderly population is at higher risk of vascular access site bleeding and the transradial approach has shown equal efficacy to transfemoral approach. However, transradial approach significantly reduces vascular complications, hospital stay, mobilization times and adverse cardiac events. Therefore, transradial approach should be considered as the preferred vascular access site in the elderly population.
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