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[Invasive hemodynamic assessment and interventional therapy].

A Gaglione1, A Chiddo, A Bortone

  • 1Istituto di Malattie dell'Apparato Cardiovascolare, Università degli Studi, Bari.

Cardiologia (Rome, Italy)
|December 1, 1991
PubMed
Summary

Percutaneous transluminal coronary angioplasty (PTCA) is an effective treatment for elderly patients with coronary artery disease. While outcomes are favorable for single and bivessel disease, triple vessel disease presents challenges but still yields acceptable long-term results.

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Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Interventional Cardiology

Context:

  • Cardiovascular diseases are a leading cause of hospitalization, often managed conservatively.
  • Surgical outcomes in the elderly have improved, increasing the need for hemodynamic studies.
  • Age-related vascular stiffening and cardiac changes impact cardiovascular hemodynamics in older adults.

Purpose:

  • To evaluate the efficacy and outcomes of percutaneous transluminal coronary angioplasty (PTCA) in elderly patients with coronary artery disease.
  • To analyze the factors influencing revascularization success and complication rates in this demographic.
  • To assess the long-term benefits of PTCA in different coronary artery disease severities.

Summary:

  • PTCA demonstrates high clinical success rates in elderly patients with coronary artery disease.

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  • Complete revascularization is often limited by chronic total occlusions and diffuse disease, particularly in triple-vessel disease.
  • Complication rates are higher in high-risk patients with triple-vessel disease and low ejection fraction, though long-term outcomes remain encouraging.

    • Impact:

    • PTCA is a viable therapeutic option for elderly individuals with coronary artery disease.
    • Short- and long-term outcomes are favorable for single and bivessel disease.
    • While early success rates are lower for triple-vessel disease, long-term results are acceptable, offering a valuable alternative to conservative management.