Percutaneous transluminal coronary angioplasty (PTCA) in the elderly: acute and follow-up angiographic results.
- Author:
Kwang Il KIM
1
;
Hyun Jae KANG
;
Kyoung Hoon YOU
;
Young Seok CHO
;
In Ho CHAE
;
Hyo Soo KIM
;
Cheol Ho KIM
;
Dae Won SOHN
;
Byung Hee OH
;
Myoung Mook LEE
;
Young Bae PARK
;
Yun Shik CHOI
;
Young Woo LEE
Author Information
1. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
- Publication Type:Original Article
- Keywords:
old age;
angioplasty;
restenosis
- MeSH:
Aged*;
Angiography;
Angioplasty;
Angioplasty, Balloon;
Angioplasty, Balloon, Coronary*;
Cause of Death;
Constriction, Pathologic;
Coronary Artery Disease;
Diagnosis;
Female;
Follow-Up Studies*;
Humans;
Ischemia;
Length of Stay
- From:Journal of the Korean Geriatrics Society
1998;2(1):35-41
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Coronary artery disease is a major problem and one of the most common cause of death in the elderly. With an increase in technical success rate and a reduction in short-term complication rates for coronary angioplasty, PTCA seems to be an attractive therapy for the elderly. But elderly patients have more extensive coronary artery disease and frequently associated with other disease such as diabetes. So, it was reported that the longterm clinical and angiographic outcome is unfavorable. We examined clinical characteristic and angiographic outcome according to age of patients who underwent balloon angioplasty. METHODS: We studied total 68 patients who underwent balloon angioplasty for the treatment of reversible ischemia and all patients underwent follow-up angiography. Patients were divided into 2 groups according to age; those <65 years (n=49) and those > = or65 years (n=19). Baseline characteristics and angiographic findings, follow-up angiographic findings were compared between two groups. RESULTS: Female sex was more prevalent in the elderly group. Clinical diagnosis and comorbid state were not different. Procedure time was longer in the elderly group (88.1+/-24.5 min vs 75.3+/-21.2 min, p<0.05), but hospital stay was not different. In elderly group, residual stenosis after angioplasty was greater than in younger group (32.9+/-12.7% vs 26.4+/-10.6%, p<0.05). But immediate success and restenosis rate at follow-up angiography had no significant difference between groups. CONCLUSION: PTCA can be done safely and successfully in the elderly and the initial gain is maintained at follow-up angiography. So in symptomatic elderly patients of coronary artery disease, PTCA can play an important role for symptomatic relief.
