Outcome and Safety of Concurrent Coronary and Peripheral Catheterization (REV-PERICAD Study)

Background: Coronary and peripheral catheterization are safe and effective procedures with the highest diagnostic yield. Concurrent procedure, coronary and peripheral catheterization at the same time can be a time and cost saving. Such hybrid procedure has not been fully examined.

Method: We conducted a retrospective cohort study from 1/2008 to 12/20016. A total of 121 Patients were included in 4 groups. 20 (16.5%) patients had concurrently coronary and peripheral catheterization, 32 (26%) patients had separate procedure (time interval between procedures >2 months), 50 (41%) patients had staged procedure (time interval ≤2 months) and 19 (16%) patients had only peripheral catheterization in study time (Single procedure).

Results: The patients did not statistically differ in the demographic variables except for gender (p<.003), rates of diabetes (p<.02) and congestive heart failure (p<.001). Majority of the patients that had single procedure did not exhibit symptoms (p<.001). Rate of successful peripheral catheterization was higher in the single procedure (p<.004) but not differ within the other groups. There were not statistically significant differences in either MACE or Mortality within 30 days and 1 year. There were not differences in 24 hours vascular complication or acute renal failure.

Conclusion: Concurrent coronary and peripheral catheterization, in selected patients, proved to be a safe procedure with no higher rate of major cardiovascular events or long term mortality as compared to separate procedures.