Key result
Right heart catheterization shows similar complication rates in patients ≥75 years versus younger patients.
Why the study?
The increasing age of patients at diagnosis raises concerns about the morbidity of right heart catheterization in elderly individuals with pulmonary hypertension.
Does right heart catheterization have an increased rate of complications in very elderly patients (≥75 years) compared to younger patients?
Observational (n=1,060)
No
Does right heart catheterization have an increased rate of complications in very elderly patients (≥75 years) compared to younger patients?
Absolute Event Rate: 1.3% vs 0.7%
p-value: p=0.5
Right heart catheterization is safe in very elderly patients (≥75 years) with no increased complication rate compared to younger patients, though femoral vein access should be avoided to minimize vascular injuries.
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RHC appears safe across ages in this cohort; leaves open need for prospective confirmation of access-site strategies and age-adjusted hemodynamics.
Ginoux et al. (2018) conducted an observational in Pulmonary hypertension (n=1,060). Age ≥75 years vs. Age <75 years was evaluated on Procedure-related complications (p=0.5). Right heart catheterization complication rates were not significantly increased in patients aged ≥75 years compared to younger patients (1.3% vs 0.7%; P=0.5).
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