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Invasive treatment of coronary artery disease in octogenarians

Ewa Gaszewska-Zurek1, Paweł Zurek, Joanna Ciosek

  • 1III Klinika Kardiologii Slaskiej Akademii Medycznej, ul. Ziołowa 47, 40-635 Katowice, Poland. pawewazurek@poczta.onet.pl

Kardiologia Polska
|December 20, 2005
PubMed

Insights

Invasive treatments for coronary artery disease in octogenarians are feasible and safe. Percutaneous coronary angioplasty (PTCA) and coronary artery bypass grafting (CABG) show acceptable risks and satisfactory outcomes in elderly patients.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Coronary artery disease (CAD) frequently affects patients over 80 years old.
  • The efficacy and safety of invasive treatments in this demographic remain a critical clinical question.

Purpose of the Study:

  • To compare one-year clinical outcomes of percutaneous coronary angioplasty (PTCA) versus coronary artery bypass grafting (CABG) in octogenarians.
  • To evaluate outcomes in octogenarians compared to a younger control group (60-65 years).

Main Methods:

  • Retrospective analysis of 63 patients over 80 undergoing PTCA or CABG for CAD.
  • Comparison with 40 younger patients (60-65 years) treated similarly.
  • Assessment of procedural risks, complications, and one-year clinical status.

Main Results:

  • In octogenarians, 39 PTCA and 24 CABG procedures were performed.
  • In-hospital mortality was 3%, with 18 periprocedural complications.
  • One-year follow-up revealed 6 deaths, with higher recurrent angina rates after PTCA than CABG.

Conclusions:

  • Invasive treatment for coronary artery disease in octogenarians is feasible.
  • Satisfactory clinical outcomes and acceptable procedural risks were observed in this elderly population.
Abstract

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