[Percutaneous transluminal coronary angioplasty in patients older than 70 years; short- and long-term results].
PTCA was performed in 166 patients older than 70. The primary angiographic and clinical success rates were 85% and 86%, respectively. A total of 15 major complications occurred in 10 patients (6%): 4 patients died (2%), 6 patients underwent urgent bypass surgery (4%), the incidence of acute myocardial infarction was 3% (5 patients). The 4-year survival rate was 84 +/- 8%. During the follow-up period 8 patients (5%) sustained a nonfatal myocardial infarction, 21 patients (13%) underwent a second and (or) third balloon dilatation and 17 patients (10%) underwent bypass surgery. At the end of the observation period 68% of the survivors had a sustained improvement of the functional class. This was associated with a significant reduction of the antianginal therapy. These data demonstrate that PTCA can be performed safely and effectively in patients over 70.
de Jaegere
P P
PP
Academisch Ziekenhuis Rotterdam-Dijkzigt, Thoraxcentrum, Catheterisatie Laboratorium.
de Feyter
P J
PJ
Laarman
G J
GJ
Suryapranata
H
H
van den Brand
M
M
Serruys
P W
PW
D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000601:surgery / Q000628:therapy; D012008:Recurrence
Percutane transluminale coronaria-angioplastiek bij patiënten ouder dan 70 jaar; korte- en lange-termijnresultaten.