TY - JOUR
T1 - Percutaneous transluminal coronary angioplasty in patients aged 70 years and older
T2 - immediate and long-term results
AU - Maiello, Luigi
AU - Colombo, Antonio
AU - Gianrossi, Renato
AU - Thomas, Jack
AU - Finci, Leo
PY - 1992
Y1 - 1992
N2 - We analyzed all coronary angioplasty procedures performed in patients aged > 70 yr since 1987. There were a total of 92 patients with a mean age of 74 ± 4 yr (range 70-82). The clinical diagnosis was unstable angina in 79%. Single-vessel disease was present in 41%, double-vessel in 29% and triple-vessel in 30% of patients. A left ventricular ejection fraction of <40% was present in 18 patients. Angioplasty was attempted on one vessel in 52 patients (56%), on two vessels in 29 patients (32%) and in three vessels in 10 patients (11%). Angiographic success was achieved in 96% of stenoses and in 53% of chronic total occlusions attempted. Complete revascularization was achieved in 56% of patients. Complications included three patients (3.2%) who underwent emergency coronary artery bypass grafting, 1 patient (1.1%) who sustained a myocardial infarction and 5 patients (5.4%) who died. During hospitalization, which averaged 3 ± 2 days, 1 patient sustained reversible renal failure and 5 patients required blood transfusion for a large groin hematoma. Clinical success at discharge was 83%. At a mean follow-up of 13 months (range 3-45 months), symptomatic improvement was observed in 59 of the 76 patients who had achieved clinical success, with 42 of these patients (55%) being asymptomatic. The following clinical events occurred: myocardial infarction in 1 patient, new percutaneous transluminal coronary angioplasty in 9 and 3 patients died of cardiac reasons. In conclusion, although the immediate mortality rate seems to be higher and asymptomatic status at follow-up lower than in the reported series of angioplasty in non-elderly patients, coronary angioplasty in the elderly is an effective modality of treatment of angina.
AB - We analyzed all coronary angioplasty procedures performed in patients aged > 70 yr since 1987. There were a total of 92 patients with a mean age of 74 ± 4 yr (range 70-82). The clinical diagnosis was unstable angina in 79%. Single-vessel disease was present in 41%, double-vessel in 29% and triple-vessel in 30% of patients. A left ventricular ejection fraction of <40% was present in 18 patients. Angioplasty was attempted on one vessel in 52 patients (56%), on two vessels in 29 patients (32%) and in three vessels in 10 patients (11%). Angiographic success was achieved in 96% of stenoses and in 53% of chronic total occlusions attempted. Complete revascularization was achieved in 56% of patients. Complications included three patients (3.2%) who underwent emergency coronary artery bypass grafting, 1 patient (1.1%) who sustained a myocardial infarction and 5 patients (5.4%) who died. During hospitalization, which averaged 3 ± 2 days, 1 patient sustained reversible renal failure and 5 patients required blood transfusion for a large groin hematoma. Clinical success at discharge was 83%. At a mean follow-up of 13 months (range 3-45 months), symptomatic improvement was observed in 59 of the 76 patients who had achieved clinical success, with 42 of these patients (55%) being asymptomatic. The following clinical events occurred: myocardial infarction in 1 patient, new percutaneous transluminal coronary angioplasty in 9 and 3 patients died of cardiac reasons. In conclusion, although the immediate mortality rate seems to be higher and asymptomatic status at follow-up lower than in the reported series of angioplasty in non-elderly patients, coronary angioplasty in the elderly is an effective modality of treatment of angina.
KW - Angioplasty
KW - Coronary transluminal
KW - Elderly patient
KW - Follow-up results
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U2 - 10.1016/0167-5273(92)90101-8
DO - 10.1016/0167-5273(92)90101-8
M3 - Article
C2 - 1428238
AN - SCOPUS:0026689008
VL - 36
SP - 1
EP - 8
JO - International Journal of Cardiology
JF - International Journal of Cardiology
SN - 0167-5273
IS - 1
ER -