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Chest, Vol 102, 375-379, Copyright © 1992 by American College of Chest Physicians

ARTICLES

Results of coronary angioplasty in patients aged 75 years and older

L Maiello, A Colombo, R Gianrossi, J Thomas and L Finci
Catherization Laboratory, Centro Cuore Columbus, Milan, Italy.

We studied a group of 47 patients greater than or equal to 75 years old. The mean age was 77 +/- 1.5 years and there were 28 (60 percent) male patients. Multivessel disease was present in 72 percent. Angioplasty was successful in 93 percent of 90 stenoses and in 30 percent of ten total occlusions. Single vessel angioplasty was done in 53 percent of patients, double vessel in 28 percent and triple vessel in 19 percent. Incomplete or absent revascularization was present in 47 percent and 9 percent, respectively. Primary clinical success was accomplished in all patients with single vessel disease; in 85 percent of patients with double vessel disease, and in only 52 percent of patients with triple vessel disease. Complications were highest in patients with triple vessel disease: 14 percent mortality and 5 percent emergency CABG. The follow-up at one year showed 91 percent survival. The PTCA is a valid alternative method of revascularization in elderly patients with single and double vessel disease. The results in triple vessel disease are less encouraging.


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 J Am Coll CardiolHome page
J. De Gregorio, Y. Kobayashi, R. Albiero, B. Reimers, C. Di Mario, L. Finci, and A. Colombo
Coronary artery stenting in the elderly: short-term outcome and long-term angiographic and clinical follow-up
J. Am. Coll. Cardiol., September 1, 1998; 32(3): 577 - 583.
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Copyright © 1992 by the American College of Chest Physicians.