| Percutaneous coronary angioplasty in patients over 75 years old: immediate and mid-term results. | |
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MedLine Citation:
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PMID: 10151004 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Ninety-five patients 75 years or older (range 75-90, mean 79) underwent PTCA from 1987 to 1991. Forty-two patients were 80 years or older. Forty-four had prior MI, 5% had prior coronary bypass surgery (CBS), 13% had a prior history of recent cardiac failure, and 81% (77/95) presented with unstable angina, refractory to intravenous treatment in 31 cases. The mean left ventricular ejection fraction was 62% (range 34%-80%). Thirty-nine percent had single vessel disease, 41% had two vessel disease, and 20% had three vessel disease. Coronary calcifications were present in 28%. A single vessel was dilated in 81 patients, two vessels in 14 patients; complete revascularization was achieved in 41%. The clinical angiographic primary success rate was 79% (75/95). There were five procedural deaths, five MI, five CBS and, ten hematomas. Follow-up data were obtained in 100% cases, with a mean follow-up duration of 12 months (ranging from 1-36). There were four deaths, one MI, and two CBS. Twenty percent (15/74) of patients had a second PTCA with a 73% success rate. Finally, 70% of the initial population was asymptomatic after first or second PTCA at mid-term follow-up. We conclude that PTCA is safe and effective in elderly patients, with 70% clinical success rate at mid-term follow-up in spite of frequent incomplete revascularization limited to the culprit lesion. |
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Authors:
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C Gueniche; X Tabone; M S Slama; J P Metzger; G Motté; A Vacheron |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of interventional cardiology Volume: 6 ISSN: 0896-4327 ISO Abbreviation: J Interv Cardiol Publication Date: 1993 Jun |
Date Detail:
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Created Date: 1993-08-26 Completed Date: 1993-08-26 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8907826 Medline TA: J Interv Cardiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 169-74 Citation Subset: T |
Affiliation:
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Hôpital Béclère, Clamart, France. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Angioplasty, Transluminal, Percutaneous Coronary / adverse effects, methods* Coronary Disease / therapy* Evaluation Studies as Topic Female Follow-Up Studies Humans Male Risk Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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