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 language | English (US) |
|---|---|
| Pages (from-to) | 73-75 |
| Number of pages | 3 |
| Journal | American Journal of Geriatric Cardiology |
| Volume | 9 |
| Issue number | 2 |
| State | Published - Jan 1 2000 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Gerontology
- Health Policy
- Geriatrics and Gerontology
- Cardiology and Cardiovascular Medicine
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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 journal › Article
TY - JOUR
T1 - Rotational atherectomy in octogenarians
T2 - Results and follow up
AU - Cohen, Barry
AU - Blum, M. A.
AU - Weber, V. J.
AU - Kammona, H.
AU - Phillips, A.
AU - Daniels, S.
AU - Mirabella, D.
AU - Santiago, D.
AU - Banas, Jr
PY - 2000/1/1
Y1 - 2000/1/1
N2 - 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.
AB - 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=0033837388&partnerID=8YFLogxK
M3 - Article
VL - 9
SP - 73
EP - 75
JO - American Journal of Geriatric Cardiology
JF - American Journal of Geriatric Cardiology
SN - 1076-7460
IS - 2
ER -