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Clinical outcomes of transradial unprotected left main coronary artery stenting in the elderly

Qingsheng Wang1, Qiang Tan, Dongtian Liu

  • 1Department of Cardiology, Qinhuangdao First Hospital, Hebei Medical University, Hebei, China. E-mail. qhdtanqiang@aliyun.com.

Saudi Medical Journal
|August 18, 2014
PubMed

Insights

Transradial percutaneous coronary intervention (PCI) with drug-eluting stents is safe and effective for elderly patients with unprotected left main coronary artery disease, showing good long-term survival rates.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Geriatric Cardiology

Background:

  • Unprotected left main coronary artery disease (ULMCA) poses significant risks, especially in elderly patients.
  • Transradial approach (TRA) offers potential benefits for PCI procedures.
  • Evaluating long-term outcomes of TRA-PCI in this specific high-risk population is crucial.

Purpose of the Study:

  • To assess the long-term clinical outcomes of elderly patients (>70 years) undergoing transradial PCI with drug-eluting stents for ULMCA disease.
  • To determine the safety and efficacy of this approach in a geriatric population.

Main Methods:

  • A prospective study involving 79 elderly patients with ULMCA stenosis treated with drug-eluting stents via TRA.
  • Data collection focused on major adverse cardiac events (MACE), including death, myocardial infarction, stroke, and target lesion revascularization.
  • Follow-up duration was 3 years post-procedure.

Main Results:

  • The 3-year MACE-free survival rate was 72.2%.
  • Incidence of cardiac death was 7.6%, myocardial infarction was 5.1%, and target lesion revascularization was 13.9%.
  • Advanced age and left main distal bifurcation involvement were identified as favorable predictors for MACE.

Conclusions:

  • Transradial PCI with drug-eluting stents can achieve favorable angiographic and clinical results in elderly patients with ULMCA disease.
  • The long-term survival data indicate that PCI via TRA is a safe and effective treatment option for ULMCA patients aged 70 years and older.
Abstract

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