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[Coronary angioplasty in octogenarians]
E Camenzind1, B Meier, P Urban
1Centre de cardiologie, Hôpital cantonal universitaire de Genève.
Schweizerische Medizinische Wochenschrift
|May 15, 1993
Summary
Coronary balloon angioplasty effectively manages angina in octogenarians. However, this elderly group faces significant risks, including myocardial infarction and mortality, necessitating careful patient selection.
Area of Science:
- Interventional Cardiology
- Geriatric Cardiovascular Medicine
Context:
- Octogenarians (≥80 years) with severe angina pectoris (grade III-IV) underwent coronary balloon angioplasty.
- The study included 23 patients (median age 83) with a median ejection fraction of 64%.
Purpose:
- To evaluate the efficacy and safety of coronary balloon angioplasty in octogenarians with severe coronary artery disease.
Summary:
- Coronary angioplasty was performed on 33 lesions in 23 octogenarians, achieving 97% angiographic success.
- In-hospital mortality was 7%, with complications including myocardial infarction and bleeding.
- One-year survival was 86%, with 14% mortality during follow-up. Restenosis occurred in 24% of patients.
Impact:
- Coronary angioplasty is a viable option for symptom control in selected octogenarians.
- Complications in this age group are associated with significant mortality, highlighting the need for careful risk-benefit assessment.