Document Detail


Results of Stent Supported Percutaneous Transluminal Coronary Angioplasty in Octogenarians With Coronary Artery Disease.
MedLine Citation:
PMID:  11416569     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Between January 1995 and July 1998, percutaneous transluminal coronary angioplasty was performed on 27 lesions in 24 octogenarians. Half of the patients were African American. Women comprised 67% of the study group. Patients with unstable angina and myocardial infarction constituted 54% of the cohort. Two-thirds of the patients (83%) had single vessel disease with predominant class A and B lesion complexity of the angioplasty site. Acute success rate was 92%. Stents were successfully placed in 11 subjects (46%). None had acute myocardial infarction, emergency coronary artery bypass surgery, or stroke as a complication of the procedure. One patient presenting with acute myocardial infarction complicated by cardiogenic shock, died. Significant bleeding complications requiring blood transfusions occurred in 17% of patients. Of the patients, 23 (96%) were discharged in a clinically stable condition. Follow up during a two year period was completed in 21 patients (88%). One patient died of cancer. Four subjects (19%) underwent repeat percutaneous transluminal coronary angioplasty. One other patient had recurrent chest pain requiring multiple hospitalizations. The remaining 16 patients (76%) remained free of recurrence of angina. We concluded that percutaneous transluminal coronary angioplasty with stent placement can be performed in octogenarians with a high rate of clinical and angiographic success with an acceptable range of morbidity and mortality, and favorable long term (two year) outcome. (c) 2000 by CVRR, Inc.
Authors:
K.M.A. Hussain; A. H. Sankari; A. Jain; R. Bargout; H. Chandra; P. Denes
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  The American journal of geriatric cardiology     Volume:  9     ISSN:  1751-715X     ISO Abbreviation:  Am J Geriatr Cardiol     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2001-Jun-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9215283     Medline TA:  Am J Geriatr Cardiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  219-223     Citation Subset:  -    
Affiliation:
Memorial Medical Center, Johnston, PA.
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