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Angiology
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Coronary Angioplasty in the Elderly: Immediate and Long-Term Results

Vasilis Voudris

Hemodynamic and Interventional Cardiology Unit, General Hospital of Athens, "Evangelismos," Greece

John Antonellis

Hemodynamic and Interventional Cardiology Unit, General Hospital of Athens, "Evangelismos," Greece

Anastasios Salachas

Hemodynamic and Interventional Cardiology Unit, General Hospital of Athens, "Evangelismos," Greece

George Ifantis

Hemodynamic and Interventional Cardiology Unit, General Hospital of Athens, "Evangelismos," Greece

Dimitris Sionis

Hemodynamic and Interventional Cardiology Unit, General Hospital of Athens, "Evangelismos," Greece

Nikolaos Margaris

Hemodynamic and Interventional Cardiology Unit, General Hospital of Athens, "Evangelismos," Greece

Gabriel Koroxenidis

Hemodynamic and Interventional Cardiology Unit, General Hospital of Athens, "Evangelismos," Greece

Coronary angioplasty was performed in 37 elderly patients ( > sixty-eight years) with unstable or stable angina, refractory to medical treatment. History of myocardial infarction was present in 38% and of previous bypass surgery in 5% of patients. Coronary angiography revealed single-vessel disease in 22 (59%) and multivessel disease in 15 (41%) of patients. The mean left ventricular ejec tion fraction was 53 ± 17 % . Percutaneous transluminal coronary angioplasty (PTCA) was successful in 92% of patients; there were two angioplasty failures and 1 acute occlusion leading to Q wave myocardial infarction. In patients with multivessel disease complete revascularization was achieved in 33%. Follow-up data (21.29 ± 9.23 months) are available in all patients with primary angio graphic success. There was 1 death. Seventy-nine percent of patients had an improved anginal status, and repeat PTCA was performed in 2 patients because of clinical recurrence. Thus, coronary angioplasty is a safe and efficacious method of revascularization in symptomatic patients over the age of sixty-eight years.

Angiology, Vol. 44, No. 12, 933-937 (1993)
DOI: 10.1177/000331979304401202


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