Rotational atherectomy in octogenarians

Results and follow up

Barry Cohen, M. A. Blum, V. J. Weber, H. Kammona, A. Phillips, S. Daniels, D. Mirabella, D. Santiago, Jr Banas

Research output: Contribution to journalArticle

Abstract

We examined our first 390 rotational atherectomy procedures to determine success and complications rates of patients aged ≥ 80 (Group I, N=35) as compared to those younger (Group II, N=355). Procedural success was achieved in 32/35 (91%) of Group I and 42/355 (96%) of Group II patients (p=NS). Coronary artery bypass graft surgery was required in 2/35 (5.7%) of Group I and 7/355 (2%) of Group II patients. No deaths, Q wave infarctions, or perforations occurred in the elderly patients and only one of each was observed in the younger group. During clinical follow up (26 months, 3-50), 4/25 patients (16%) in the octogenarian group died. Two of the deaths were cardiac (including the only crossover to surgery). One patient who sustained a late non Q myocardial infarction was asymptomatic. Of the remaining 20 patients the anginal class was O-II in 19 and III in one. Rotational atherectomy can achieve excellent short and long term outcomes in selected octogenarians. (C) 2000 by Cardiovascular Reviews and Reports, Inc.

Original languageEnglish (US)
Pages (from-to)73-75
Number of pages3
JournalAmerican Journal of Geriatric Cardiology
Volume9
Issue number2
StatePublished - Jan 1 2000
Externally publishedYes

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Coronary Atherectomy
Coronary Artery Bypass
Infarction
Myocardial Infarction
Transplants

All Science Journal Classification (ASJC) codes

  • Gerontology
  • Health Policy
  • Geriatrics and Gerontology
  • Cardiology and Cardiovascular Medicine

Cite this

Cohen, B., Blum, M. A., Weber, V. J., Kammona, H., Phillips, A., Daniels, S., ... Banas, J. (2000). Rotational atherectomy in octogenarians: Results and follow up. American Journal of Geriatric Cardiology, 9(2), 73-75.
Cohen, Barry ; Blum, M. A. ; Weber, V. J. ; Kammona, H. ; Phillips, A. ; Daniels, S. ; Mirabella, D. ; Santiago, D. ; Banas, Jr. / Rotational atherectomy in octogenarians : Results and follow up. In: American Journal of Geriatric Cardiology. 2000 ; Vol. 9, No. 2. pp. 73-75.
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Cohen, B, Blum, MA, Weber, VJ, Kammona, H, Phillips, A, Daniels, S, Mirabella, D, Santiago, D & Banas, J 2000, 'Rotational atherectomy in octogenarians: Results and follow up', American Journal of Geriatric Cardiology, vol. 9, no. 2, pp. 73-75.

Rotational atherectomy in octogenarians : Results and follow up. / Cohen, Barry; Blum, M. A.; Weber, V. J.; Kammona, H.; Phillips, A.; Daniels, S.; Mirabella, D.; Santiago, D.; Banas, Jr.

In: American Journal of Geriatric Cardiology, Vol. 9, No. 2, 01.01.2000, p. 73-75.

Research output: Contribution to journalArticle

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Cohen B, Blum MA, Weber VJ, Kammona H, Phillips A, Daniels S et al. Rotational atherectomy in octogenarians: Results and follow up. American Journal of Geriatric Cardiology. 2000 Jan 1;9(2):73-75.