Idioma:

In-hospital and long-term outcomes after percutaneous coronary intervention for chronic total occlusion in elderly patients: A consecutive, prospective, single-centre study

André, Romain ; Dumonteil, Nicolas ; Lhermusier, Thibault ; Lairez, Olivier ; Van Rothem, Jérôme ; Fournier, Pauline ; Elbaz, Meyer ; Carrié, Didier ; Boudou, Nicolas

Archives of cardiovascular diseases, 2016-01, Vol.109 (1), p.13-21 [Periódico revisado por pares]

Netherlands: Elsevier Masson SAS

Texto completo disponível

Citações Citado por

Enviar para

Título:
In-hospital and long-term outcomes after percutaneous coronary intervention for chronic total occlusion in elderly patients: A consecutive, prospective, single-centre study
Autor: André, Romain ; Dumonteil, Nicolas ; Lhermusier, Thibault ; Lairez, Olivier ; Van Rothem, Jérôme ; Fournier, Pauline ; Elbaz, Meyer ; Carrié, Didier ; Boudou, Nicolas
Assuntos: Age ; Age Factors ; Aged ; Aged, 80 and over ; Angioplastie ; Cardiovascular ; Chronic Disease ; Chronic total occlusion ; Coronary Occlusion - diagnosis ; Coronary Occlusion - mortality ; Coronary Occlusion - therapy ; Disease-Free Survival ; Feasibility Studies ; Female ; France ; Hospitalization ; Hospitals, University ; Humans ; Internal Medicine ; Kaplan-Meier Estimate ; Male ; Occlusion coronaire chronique ; Outcomes ; Patient Selection ; Percutaneous coronary intervention ; Percutaneous Coronary Intervention - adverse effects ; Percutaneous Coronary Intervention - mortality ; Pronostic ; Proportional Hazards Models ; Prospective Studies ; Registries ; Risk Factors ; Time Factors ; Treatment Outcome ; Âgés
É parte de: Archives of cardiovascular diseases, 2016-01, Vol.109 (1), p.13-21
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: Summary Background Elderly patients are increasingly referred for complex percutaneous coronary interventions (PCI), including recanalization of chronic total occlusion (CTO). Aims To assess the feasibility, safety and clinical benefits associated with CTO-PCI in elderly patients. Methods Consecutive patients ( n = 356) who underwent CTO-PCI in our institution between January 2008 and December 2011 were prospectively included. The short-term outcomes of CTO-PCI were assessed by comparing the rates of successful recanalization and postoperative complications in patients aged ≥75 years and those <75 years. The clinical effect of successful recanalization was evaluated in a 20-month follow-up analysis in patients ≥75 years. Results Although patients ≥75 years ( n = 93) had more complex coronary artery disease, the procedural success rate was similar to that in younger patients (78.2% vs. 74.3%, respectively; P = 0.41). Postoperative complications were more frequent in older patients (5.4% vs. 0.4%; P = 0.005). Major adverse cardiac event-free survival analysis at 20 months revealed that successful revascularization was indicative of a better prognosis in older patients (hazard ratio: 0.43, 95% confidence interval: 0.19–0.96; P = 0.039). Conclusion Elderly patients have more complex coronary disease and are at a higher risk of postoperative complications. Nevertheless, we observed a similar success rate for CTO-PCI in elderly patients as for younger patients. Successful CTO recanalization improved the event-free survival rate at 20 months. Thus, CTO-PCI constitutes an alternative strategy for treating selected elderly patients.
Editor: Netherlands: Elsevier Masson SAS
Idioma: Inglês

Links

View this record in MEDLINE/PubMed

Voltar para lista de resultados

Realização: Logos de Redes Sociais:

In-hospital and long-term outcomes after percutaneous coronary intervention for chronic total occlusion in elderly patients: A consecutive, prospective, single-centre study

André, Romain ; Dumonteil, Nicolas ; Lhermusier, Thibault ; Lairez, Olivier ; Van Rothem, Jérôme ; Fournier, Pauline ; Elbaz, Meyer ; Carrié, Didier ; Boudou, Nicolas

Netherlands: Elsevier Masson SAS

Buscando em bases de dados remotas. Favor aguardar.