title: Comparison of six-month outcome of coronary artery stenting in patients <65, 65-75, and >75 years of age.
abstract: We studied 1,238 patients receiving 1,880 coronary stents. In-hospital outcomes were divided by age into <65 years (n = 747, group 1), 65 to 75 years (n = 326, group 2), and >75 years (n = 165, group 3). Procedural success was 97.2%, 95.1%, and 98.8% in groups 1, 2, and 3, respectively (p = NS). There was 1 death (group 1). Myocardial infarction occurred in 1.2%, 2.8%, and 1.8%, bypass surgery occurred in 0.9%, 1.8%, and 1.2%, and repeat balloon angioplasty in 0.3%, 0.6%, and 0% of patients in groups 1, 2, and 3, respectively (p = NS for all comparisons). Vascular complications occurred in 2.8%, 4.9%, and 6.1% in groups 1, 2, and 3, respectively (p <0.05). Six-month follow-up of patients was divided by age: <65 years (n = 564, group 1); 65 to 75 years (n = 221, group 2); and >75 years (n = 122, group 3). Event-free survival was 94.5%, 90.5%, and 89.3% for groups 1, 2, and 3, respectively (p = NS). Death occurred in 0.4%, 0.5%, and 1.6%; myocardial infarction occurred in 1.2%, 2.3%, and 1.6%, and target vessel revascularization in 4.3%, 8.6%, and 7.4% for groups 1, 2, and 3, respectively (p = NS for all comparisons). Thus, coronary stenting produced favorable in-hospital and 6-month outcomes in all 3 age groups. Age itself should not preclude patients from undergoing coronary stenting.
authors.affiliation: Nasser, Smith, Pinkerton Cardiology, Inc., Indiana Heart Institute, St. Vincent Hospital, Indianapolis, USA.
authors.forename: T K
authors.initials: TK
authors.lastname: Nasser
authors.forename: E T
authors.initials: ET
authors.lastname: Fry
authors.forename: K
authors.initials: K
authors.lastname: Annan
authors.forename: Y
authors.initials: Y
authors.lastname: Khatib
authors.forename: T F
authors.initials: TF
authors.lastname: Peters
authors.forename: J
authors.initials: J
authors.lastname: VanTassel
authors.forename: C M
authors.initials: CM
authors.lastname: Orr
authors.forename: B F
authors.initials: BF
authors.lastname: Waller
authors.forename: R
authors.initials: R
authors.lastname: Pinto
authors.forename: C A
authors.initials: CA
authors.lastname: Pinkerton
authors.forename: J B
authors.initials: JB
authors.lastname: Hermiller
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003327:Coronary Disease / Q000150:complications*; D003331:Coronary Vessels / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents / Q000009:adverse effects*; D015996:Survival Rate; D016896:Treatment Outcome