Comparison of the risk of vascular complications associated with femoral and radial access coronary catheterization procedures in obese versus nonobese patients

被引:110
作者
Cox, N
Resnic, FS
Popma, JJ
Simon, DI
Eisenhauer, AC
Rogers, C
机构
[1] Harvard Univ, Sch Med, Brigham & Womens Hosp, Dept Cardiol, Boston, MA 02115 USA
[2] Western Hosp, Ctr Cardiovasc Therapeut, Footscray, Vic, Australia
关键词
D O I
10.1016/j.amjcard.2004.07.088
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In this retrospective review of 5,234 cardiac catheterizations and percutaneous coronary interventions, the rate of vascular complications was highest in extremely thin and morbidly obese patients and lowest in moderately obese patients, consistent with the previously reported "obesity paradox." The use of transradial access and arterial access closure devices was associated with reduced vascular complications in the population of obese patients. (C)2004 by Excerpta Medica, Inc.
引用
收藏
页码:1174 / 1177
页数:4
相关论文
共 10 条
[1]   Vascular access site complications after percutaneous coronary intervention with abciximab in the evaluation of c7E3 for the prevention of ischemic complications (EPIC) trial [J].
Blankenship, JC ;
Hellkamp, AS ;
Aguirre, FV ;
Demko, SL ;
Topol, EJ ;
Califf, RM .
AMERICAN JOURNAL OF CARDIOLOGY, 1998, 81 (01) :36-40
[2]   Low-normal or excessive body mass index: Newly identified and powerful risk factors for death and other complications with percutaneous coronary intervention [J].
Ellis, SG ;
Elliott, J ;
Horrigan, M ;
Raymond, RE ;
Howell, G .
AMERICAN JOURNAL OF CARDIOLOGY, 1996, 78 (06) :642-646
[3]   The impact of body mass index on short- and long-term outcomes in patients undergoing coronary revascularization - Insights from the Bypass Angioplasty Revascularization Investigation (BAPI) [J].
Gurm, HS ;
Whitlow, PL ;
Kip, KE ;
BARI Invest .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 39 (05) :834-840
[4]   Impact of body mass index on outcome after percutaneous coronary intervention (the obesity paradox) [J].
Gurm, HS ;
Brennan, DM ;
Booth, J ;
Tcheng, JE ;
Lincoff, AM ;
Topol, EJ .
AMERICAN JOURNAL OF CARDIOLOGY, 2002, 90 (01) :42-+
[5]   A randomized comparison of percutaneous transluminal coronary angioplasty by the radial, brachial and femoral approaches: The access study [J].
Kiemeneij, F ;
Laarman, GJ ;
Odekerken, D ;
Slagboom, T ;
vanderWieken, R .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 29 (06) :1269-1275
[6]  
Louvard Y, 2001, CATHETER CARDIO INTE, V52, P181, DOI 10.1002/1522-726X(200102)52:2<181::AID-CCD1044>3.0.CO
[7]  
2-G
[8]   Predicting vascular complications in percutaneous coronary interventions [J].
Piper, WD ;
Malenka, DJ ;
Ryan, TJ ;
Shubrooks, SJ ;
O'Connor, GT ;
Robb, JF ;
Farrell, KL ;
Corliss, MS ;
Hearne, MJ ;
Kellett, MA ;
Watkins, MW ;
Bradley, WA ;
Hettleman, BD ;
Silver, TM ;
McGrath, PD ;
O'Mears, JR ;
Wennberg, DE .
AMERICAN HEART JOURNAL, 2003, 145 (06) :1022-1029
[9]   Vascular closure devices and the risk of vascular complications after percutaneous coronary intervention in patients receiving glycoprotein IIb-IIIa inhibitors [J].
Resnic, FS ;
Blake, GJ ;
Ohno-Machado, L ;
Selwyn, AP ;
Popma, JJ ;
Rogers, C .
AMERICAN JOURNAL OF CARDIOLOGY, 2001, 88 (05) :493-496
[10]   PREDICTORS OF GROIN COMPLICATIONS AFTER BALLOON AND NEW-DEVICE CORONARY INTERVENTION [J].
WAKSMAN, R ;
KING, SB ;
DOUGLAS, JS ;
SHEN, Y ;
EWING, H ;
MUELLER, L ;
GHAZZAL, ZMB ;
WEINTRAUB, WS .
AMERICAN JOURNAL OF CARDIOLOGY, 1995, 75 (14) :886-889