Rotational Atherectomy in Octogenarians: Results and Follow Up.
We examined our first 390 rotational atherectomy procedures to determine success and complications rates of patients aged 80 or greater (Group I, N equals 35) as compared to those younger (Group II, N equals 355). Procedural success was achieved in 32/35 (91%) of Group I and 42/355 (96%) of Group II patients (p equals NS). Coronary artery bypass graft surgery was required in 2/35 (5.7%) of Group I and 7/355 (2%) of Group II patients. No deaths, Q wave infarctions, or perforations occurred in the elderly patients and only one of each was observed in the younger group. During clinical follow up (26 months, 3-50), 4/25 patients (16%) in the octogenarian group died. Two of the deaths were cardiac (including the only crossover to surgery). One patient who sustained a late non Q myocardial infarction was asymptomatic. Of the remaining 20 patients the anginal class was 0-II in 19 and III in one. Rotational atherectomy can achieve excellent short and long term outcomes in selected octogenarians. (c)2000 by CVRR, Inc.
Cohen
Barry M.
BM
Department of Cardiovascular Medicine, Morristown Memorial Hospital, Morristown, NJ, and the Division of Cardiology, Newark Beth Israel Medical Center, Newark, NJ.
Blum
Mark A.
MA
Weber
Vance J.
VJ
Kammona
Hussein
H
Phillips
Ann
A
Daniels
Sharon
S
Mirabella
Diane
D
Santiago
Derek
D
Banas
John S.
JS