Document Detail

PTCA in elderly patients: acute results and long-term follow-up.
MedLine Citation:
PMID:  8131765     Owner:  NLM     Status:  MEDLINE    
Acute results and long-term follow-up of percutaneous transluminal coronary angioplasty (PTCA) in 125 patients aged 75 to 90 years (79 men; 46 female; mean age 78 +/- 3 years), with mainly unstable angina (102 patients) are reported. Successful PTCA was achieved in 96 out of 108 patients (89%); occlusions could be reopened in eight out of 17 patients (47%). Thirty-eight procedures were multiple vessel or multiple lesion PTCA, so that the lesion-related success rate of PTCA was higher (91%). Major complications occurred in seven patients (5.6%) including one procedure-related death. In-hospital mortality was 3% and concerned exclusively patients with unstable angina and unsuccessful procedure. At a mean follow-up of 27 +/- 16 months (2 to 82 months) 13 additional patients had died: 10 from cardiovascular causes, three from cancer. In the meantime, three patients underwent non-fatal myocardial infarction and three elective bypass surgery; 26 patients had repeat PTCA. Eighty-seven of the 93 surviving patients with successful primary procedure and reintervention if necessary, were in anginal class I or II; only six were in class III. We conclude that the success rate of PTCA in elderly patients is comparable to that in younger patients, and that a successful procedure leads to continued relief of symptoms.
K Reynen; B Kunkel; K Bachmann; R Gansser; P Martus
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European heart journal     Volume:  14     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1993 Dec 
Date Detail:
Created Date:  1994-04-19     Completed Date:  1994-04-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1661-8     Citation Subset:  IM    
Department of Internal Medicine II, University of Erlangen-Nürnberg, Germany.
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MeSH Terms
Aged, 80 and over
Angina, Unstable / therapy
Angioplasty, Transluminal, Percutaneous Coronary* / adverse effects,  mortality
Coronary Disease / mortality,  therapy*
Follow-Up Studies
Survival Rate
Treatment Outcome

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