title: Directional coronary atherectomy can be successfully performed in the elderly.
abstract: The influence of age on the clinical and angiographic outcome of directional coronary atherectomy is evaluated. Results demonstrate that DCA can be performed successfully in the vast majority (78.7-90%) of patients in all age groups. However, there is a non-statistical trend toward decreased success rates in the elderly (P > .05). Major ischemic complications and groin complications tend to be more common in the elderly (P > .05). Blood transfusions are required significantly more often in the elderly (P < .05). Directional coronary atherectomy is a useful method of coronary artery revascularization in all age groups, including the elderly.
authors.affiliation: Division of Cardiology, Albert Einstein Medical Center, Temple University School of Medicine, Philadelphia, Pennsylvania 19141.
authors.forename: H D
authors.initials: HD
authors.lastname: Movsowitz
authors.forename: A
authors.initials: A
authors.lastname: Manginas
authors.forename: R P
authors.initials: RP
authors.lastname: Emmi
authors.forename: J
authors.initials: J
authors.lastname: Bruss
authors.forename: S
authors.initials: S
authors.lastname: Kothapali
authors.forename: E
authors.initials: E
authors.lastname: Wells
authors.forename: G S
authors.initials: GS
authors.lastname: Ledley
authors.forename: M N
authors.initials: MN
authors.lastname: Kotler
authors.forename: F K
authors.initials: FK
authors.lastname: Nakhjavan
authors.forename: S
authors.initials: S
authors.lastname: Yazdanfar
mesh_terms: D000368:Aged; D000789:Angina, Unstable / Q000000981:diagnostic imaging / Q000601:surgery; D017225:Atherectomy, Coronary; D002932:Cineangiography; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D012189:Retrospective Studies; D016896:Treatment Outcome