Tanzania
Research Article
Meta-analysis Comparing the Transradial and Transfemoral Approaches for Percutaneous Coronary Intervention in Elderly Patients
Author(s): Waleed E Ali, Amol A Bahekar and Sylvester U EjahWaleed E Ali, Amol A Bahekar and Sylvester U Ejah
Background: The transradial (TR) approach in percutaneous coronary intervention (PCI) has become popular among cardiologists, with potential advantages over the transfemoral (TF) approach demonstrated in previous studies conducted in unselected patients. Since elderly patients requiring PCI are a growing population, we aimed to compare the clinical outcomes of the 2 approaches in elderly population by conducting a meta-analysis of pooled data from randomized clinical trials and observational studies. Methods: PubMed, Google Scholar, Medline, and Cochrane Library, were searched for studies comparing the TR and TF approaches in PCI among elderly patients. Results: Thirteen studies met our inclusion criteria (4,066 patients: 2,540, TR; 1,526, TF). Pooled analysis demonstrated non-inferiority of the TR compared to the TF approach with regard to major adverse cardiovascular events (MACE) (.. Read More»
DOI:
10.4172/2329-9517.1000322
Cardiovascular Diseases & Diagnosis received 427 citations as per Google Scholar report