- 期刊
A Propensity Score Matching Analysis of Transradial Versus Transfemoral Approaches in Octogenarians Undergoing Percutaneous Coronary Intervention
摘要
Background: Despite the widespread adoption of the transradial approach for elderly patients undergoing percutaneous coronary intervention (PCI) in clinical practice, data on octogenarians in China are still relatively limited. This study sought to compare both the safety and efficacy of transradial intervention (TRI) and transfemoral intervention (TFI) in octogenarians in China. Methods: We identified 254 octogenarians who underwent PCIs in Fuwai Hospital, Beijing, China between January 1, 2006 and April 30, 2011. TRI was used in 184 patients and TFI was used in 70 patients. Incidence rates of in-hospital and 1-year clinical outcomes were compared between the two groups. Ono-to-one propensity score matching (PSM) was performed to control for potential bias. A total of 48 pairs were matched. Results: Baseline and procedural characteristics were balanced between the TRI and TFI groups. Patients undergoing TRI had significantly fewer access site complications (10.3% vs. 20.0%, p = 0.040), although this difference did not remain significant in propensity score-matched patients (10.4% vs. 22.9%, p = 0.100). After PSM, the patients undergoing TRI were less likely to have major post-PCI bleeding (0 vs. 12.5%, odds ratio 0.47, 95% confidence interval 0.37-0.58, p = 0.026). There were no statistical differences in the incidence rates of major adverse cardiac events (a composite of cardiac death, myocardial infarction, and target vessel revascularization) and their components both during hospitalization and at 1-year. Conclusions: Compared with TFI, TRI was safer and more feasible for octogenarians undergoing PCI.
延伸閱讀
- 林素玉、顧乃平、楊世平、伍志祥（2000）。Social Support, Uncertainty and Psychological Well-being of Patients During the First Three Months After Percutaneous Transiuminal Coronary Angioplasty。護理研究，8(5)，529-541。https://doi.org/10.7081/NR.200010.0529
- 謝普霖（2011）。The practical assessment of same-day discharge with scheduled trans-radial percutaneous coronary intervention〔碩士論文，高雄醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0011-1108201109545300
- Tsai, Y. T., Lai, C. H., Loh, S. H., Lin, C. Y., Lin, Y. C., Lee, C. Y., Ke, H. Y., & Tsai, C. S. (2015). Assessment of the Risk Factors and Outcomes for Postoperative Atrial Fibrillation Patients Undergoing Isolated Coronary Artery Bypass Grafting. Acta Cardiologica Sinica, 31(5), 436-443. https://doi.org/10.6515/ACS20150609A
- Chien, S. C., Lan, W. R., Wu, S. H., Chien, C. Y., Chien, Y. S., Lo, C. I., Tsai, C. T., & Chen, C. Y. (2020). Application and Comparison of Different Prognostic Scoring Systems in Patients Who Underwent Cardiologist-Managed Percutaneous Cardiopulmonary Support. Acta Cardiologica Sinica, 36(4), 326-334. https://doi.org/10.6515/ACS.202007_36(4).20191015A
- 廖盈謹、蘇淑芬（2015）。Effectiveness of Vascular Closure Devices for Transfemoral Percutaneous Coronary Interventions: A Meta-Analysis。榮總護理，32(3)，237-246。https://doi.org/10.6142/VGHN.32.3.237