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KMID : 0368119920220040540
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Korean Circulation Journal
1992 Volume.22 No. 4 p.540 ~ p.546
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Percutaneous Trasluminal Coronary Angioplasty in the Elderly Patients: Initial Success Rate and Angiographic Follw-up
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박성욱
박승정/김재중/송재관/두영철/김형호/이종구
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Abstract
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Background:
@EN Although coronary bypass grafting has been shown to prolong life and to relive symtoms in the elderly patients with symptomatic coronary artery disease. the operative mortality and morbidity are higher than in younger patients. For this
reason
percutaneous transluminal coronary angioplasty (PTCA) is a potentially attractive and less invasive alternative to bypass surgery in elderly patients. This study was done to evaluate the feasiblity and the initial success rate of PTCA in patients
over
70 years of age compared to younger patients group.
@ES Methods:
@EN Patients were selected and grouped as I (age 50~69) and II (age over 70 )from the consecutive patients who underwent coronary angioplasty at Asan Medical Center from July 1989 to October 1991. Coronary angioplasty was performed at 121 lesions
in
group I (92 patients) and at 44 lesions in grop II 924 patients).
@ES Results:
@EN Clinically unstable angina and angiographically multivessel disease were more frequent in the elderly pattients than in younger patients. The overall initial success rates of PTCA for the elderly and younger patients group were 95.5% and
82.6%
respectively. The rate of major complications of PTCA in the elderly patients group were 95.5% and 82.6% respectively. The rate of major complications of PTCA in the elderly patients was not different from that of younger patients: Acute
myocardial
infarction in 1. emergency coronary bypass operation in 1 and cardiac tamponade in 1 patient. There was no differ4ence in the rate of angiographic restenosis between elderly (27.8%) and younger patients group (35.7%).
@ES Conclusion:
@EN PTCA may be an appropriate therapeutic modality in the selected group of elderly patients. with high initial success and low complication rate. and follow-up study would be necessary to evaluate the rat eof longterm survival and event-free
survival
after PTCA.
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KEYWORD
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