Document Detail


Coronary angioplasty in octogenarians: immediate and long-term results and comparison with a younger population.
MedLine Citation:
PMID:  10151054     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The safety and efficacy of percutaneous transluminal coronary angioplasty (PTCA) was examined in a group of 91 octogenarians during 133 consecutive procedures and compared to the younger part of our PTCA population (3,443 procedures) during an 8-year study period. Most octogenarians presented with refractory or unstable angina pectoris and multivessel involvement, but had normal left ventricular function. The angiographic success rate was 84%. Technical failure was observed in 12% of cases and complications in 14%. Two early procedure related deaths were observed. Restenosis was estimated at 24%. The proportion surviving and the proportion without cardiac event estimated by the Kaplan-Meier method at 2 years were 0.89 and 0.60, respectively. In comparison to the younger population, the immediate angiographic success was lower as a result of a higher incidence of technical failure (P less than 0.05). Otherwise, no difference in terms of restenosis or overall related complication rate was noted (P greater than 0.1). It is concluded that PTCA is an efficient and safe therapeutic option for octogenarians with severe or refractory angina pectoris. Technical failure is more frequently observed than in younger patients and explains a lower immediate angiographic success. Nevertheless, at 2-years follow-up, a large majority of patients are alive and asymptomatic.
Authors:
E Eeckhout; J C Stauffer; X Jeanrenaud; P Vogt; P Beuret; J J Goy; L Kappenberger
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of interventional cardiology     Volume:  7     ISSN:  0896-4327     ISO Abbreviation:  J Interv Cardiol     Publication Date:  1994 Jun 
Date Detail:
Created Date:  1994-10-20     Completed Date:  1994-10-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8907826     Medline TA:  J Interv Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  237-43     Citation Subset:  T    
Affiliation:
Cardiology Division, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Aged, 80 and over
Angina Pectoris / therapy
Angioplasty, Transluminal, Percutaneous Coronary / methods*
Evaluation Studies as Topic
Female
Humans
Male
Retrospective Studies
Survival Analysis
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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