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

Am J Cardiol. 2004 Nov 1;94(9):1174-7. doi: 10.1016/j.amjcard.2004.07.088.

Abstract

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.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary
  • Body Mass Index
  • Cardiac Catheterization*
  • Coronary Angiography
  • Coronary Artery Disease / therapy
  • Female
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / surgery*
  • Femoral Vein / diagnostic imaging
  • Femoral Vein / surgery
  • Humans
  • Male
  • Middle Aged
  • Obesity / epidemiology*
  • Obesity / etiology*
  • Obesity / therapy
  • Postoperative Complications / epidemiology*
  • Postoperative Complications / etiology*
  • Radial Artery / diagnostic imaging
  • Radial Artery / surgery*
  • Retrospective Studies
  • Risk Factors
  • Statistics as Topic
  • Treatment Outcome
  • Vascular Diseases / epidemiology*
  • Vascular Diseases / etiology*