{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:29:24Z","timestamp":1747182564907,"version":"3.40.5"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,12,25]],"date-time":"2019-12-25T00:00:00Z","timestamp":1577232000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Transradial artery access (TRA) is an established technique employed by interventional cardiologists for diagnostic and therapeutic coronary interventions. The use of TRA has gained increasing traction amongst interventional radiologists in recent years. In transradial, non\u2010coronary interventions, the aorta has to be traversed. With increasing age, atherosclerotic changes in the aorta posed a theoretical risk of catheter\u2010related emboli. Currently, there is limited literature available on the cerebral ischaemic complication rates in transradial non\u2010coronary interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between November 2015 and December 2017, 150 transradial non\u2010coronary interventions were performed on 95 patients. Intra\u2010procedural, in\u2010hospital, 30\u2010day and 6\u2010month complications (ischaemic stroke, transient ischaemic attack and death, and minor complications, such as puncture site haematoma, pseudoaneurysm, thrombosis, dissection and perforation) were compared between the two age groups (\u226465 and &gt;65\u00a0years old).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patients were predominantly male (87.0%) with age \u226465 (<jats:italic>N<\/jats:italic>\u00a0=\u00a069; 46.0%) and age &gt;65 (<jats:italic>N<\/jats:italic>\u00a0=\u00a081; 54.0%). There were no ischaemic strokes at all time points in both groups, except for one case of ischaemic stroke at 6\u00a0months in the age \u226465 group(1.4% vs. 0.0%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.462). On multivariable analysis, age &gt;65 was associated with lower in\u2010hospital death rates (OR 0.251; 95% CI 0.013\u20133.09), at 30\u00a0days (OR 0.608; 95% CI 0.77\u20134.805) and at 6\u00a0months (OR 0.514; 95% CI 0.169\u20131.558) with no deaths intra\u2010procedurally in both groups. Minor complications include puncture site grade I haematoma formation (2.9% vs. 2.5%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.999) and pseudoaneurysm (2.9% vs. 0.0%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.210). In our study, the overall major and minor complications rates are low and no statistically significant difference exists between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Transradial non\u2010coronary interventions are safe in elderly patients, who are likely to have more atherosclerotic disease of the aorta. Of note, no complication of ischaemic strokes within 30\u00a0days of the procedure is documented in all patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.12989","type":"journal-article","created":{"date-parts":[[2019,12,26]],"date-time":"2019-12-26T06:42:17Z","timestamp":1577342537000},"page":"27-34","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Are cerebral ischaemic complications more likely to occur in elderly patients undergoing transradial non\u2010coronary intervention: A single\u2010centre retrospective review"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2653-484X","authenticated-orcid":false,"given":"Ivan Kuang Hsin","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Radiology Tan Tock Seng Hospital Singapore City Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ray 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