| Results of Stent Supported Percutaneous Transluminal Coronary Angioplasty in Octogenarians With Coronary Artery Disease. | |
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MedLine Citation:
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PMID: 11416569 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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K.M.A. Hussain; A. H. Sankari; A. Jain; R. Bargout; H. Chandra; P. Denes |
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Publication Detail:
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Type: JOURNAL ARTICLE |
Journal Detail:
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Title: The American journal of geriatric cardiology Volume: 9 ISSN: 1751-715X ISO Abbreviation: Am J Geriatr Cardiol Publication Date: 2000 Jul |
Date Detail:
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Created Date: 2001-Jun-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9215283 Medline TA: Am J Geriatr Cardiol Country: - |
Other Details:
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Languages: ENG Pagination: 219-223 Citation Subset: - |
Affiliation:
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Memorial Medical Center, Johnston, PA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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