Coronary angioplasty in octogenarians: immediate and long-term results and comparison with a younger population.

Détails

ID Serval
serval:BIB_0318130615F8
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Coronary angioplasty in octogenarians: immediate and long-term results and comparison with a younger population.
Périodique
Journal of Interventional Cardiology
Auteur⸱e⸱s
Eeckhout E., Stauffer J.C., Jeanrenaud X., Vogt P., Beuret P., Goy J.J., Kappenberger L.
ISSN
0896-4327
Statut éditorial
Publié
Date de publication
06/1994
Peer-reviewed
Oui
Volume
7
Numéro
3
Pages
237-243
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: ppublish
Résumé
The safety and efficacy of percutaneous transluminal coronary angioplasty (PTCA) was examined in a group of 91 octogenarians during 133 consecutive procedures and compared to the younger part of our PTCA population (3,443 procedures) during an 8-year study period. Most octogenarians presented with refractory or unstable angina pectoris and multivessel involvement, but had normal left ventricular function. The angiographic success rate was 84%. Technical failure was observed in 12% of cases and complications in 14%. Two early procedure related deaths were observed. Restenosis was estimated at 24%. The proportion surviving and the proportion without cardiac event estimated by the Kaplan-Meier method at 2 years were 0.89 and 0.60, respectively. In comparison to the younger population, the immediate angiographic success was lower as a result of a higher incidence of technical failure (P less than 0.05). Otherwise, no difference in terms of restenosis or overall related complication rate was noted (P greater than 0.1). It is concluded that PTCA is an efficient and safe therapeutic option for octogenarians with severe or refractory angina pectoris. Technical failure is more frequently observed than in younger patients and explains a lower immediate angiographic success. Nevertheless, at 2-years follow-up, a large majority of patients are alive and asymptomatic.
Mots-clé
Age Factors, Aged, Aged, 80 and over, Angina Pectoris/therapy, Angioplasty, Transluminal, Percutaneous Coronary/methods, Evaluation Studies as Topic, Female, Humans, Male, Retrospective Studies, Survival Analysis, Treatment Outcome
Pubmed
Web of science
Création de la notice
28/01/2008 10:51
Dernière modification de la notice
20/08/2019 13:25
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