Is the Outcome of Coronary Stenting Worse in Elderly Patients? |
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| Authors: | EFRAIN GAXIOLA MD RONALD E VLIETSTRA M D KEVIN F BROWNE MD ALAN S BRENNER MD DOUGLAS G EBERSOLE MD LYDIA ROMAN MD TERESA T WEEKS RN RICHARD A KERENSKY MD |
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| Institution: | From the Watson Clinic LLP, Lakeland, Florida;and University of Florida, Gainesville, Florida. |
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| Abstract: | Initial reports of percutaneous transluminal coronary angioplasty (PTCA) in the elderly (≥: 75 years) showed a significantly lower primary success rate, higher in-hospital mortality, and a higher risk of emergency or elective coronary artery bypass graft (CABG) compared to younger patients. There are few data concerning acute outcomes and clinical follow-up after the use of coronary stenting in the elderly compared to < the 75-year-old age group. We evaluated 82 elderly patients and 280 younger patients who received Palmaz-Schatz stents during 1995, at a time when high pressure deployment and antiplatelet therapy was routinely used. The success rate and acute major complications were not significantly different between the elderly and younger patients. Clinical events (death, myocardial infarction MI], repeat PTCA, or CABG) during 6-month follow-up were also not significantly different. Coronary stenting in the elderly can be carried out with a high success rate and low incidence of acute major complications. Thus, short-term clinical outcomes in elderly patients appear similar to results obtained in younger patients. |
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