 previous article in this issue | next article in this issue  |
|
Document Details : Title: Predictors of early and late outcome of percutaneous coronary intervention in octogenarians Author(s): GACH, Olivier , LOUIS, Olivier , MARTINEZ, Christophe , LAMBERMONT, Bernard , GERARD, Paul , LEGRAND, Victor Journal: Acta Cardiologica Volume: 58 Issue: 4 Date: August 2003 Pages: 289-294 DOI: 10.2143/AC.58.4.2005285 Abstract : Objective— To evaluate the short and long-term results of percutaneous coronary interventions (PCI) in patients aged 80 years or older and to identify predictors of event-free survival. Methods and results— Clinical and angiographic data from all patients undergoing percutaneous coronary intervention in our institution are prospectively collected and stored in a computerized database. The clinical and angiographic characteristics of all patients aged 80 years or older undergoing percutaneous coronary intervention between January 1994 and December 1999 were analysed retrospectively. Follow-up was obtained by interview or through the referring physician. One hundred and fifty-eight patients aged 80 years or older (median:83.4; range:80.2-92.2) underwent percutaneous coronary intervention in our institution during the study period. The initial angiographic success rate was 92%. In-hospital mortality was 8.2% and procedural success 84.8%. One-year and two-year survival were 81% and 72.2% respectively,while event free survival at 1 year and 2 years was 65.8% and 57%. Using the Cox proportional hazards method,we identified incomplete revascularization and low left ventricular ejection fraction (LVEF) as predictors of death at 2 years.Complete revascularization and stenting were independent predictors of 2-year event-free survival. Conclusion— Percutaneous coronary intervention can be performed safely in octogenarians. Complete revascularization, stenting and preserved left ventricular ejection fraction were independent predictors of better outcome in this population. |
