SUCCESS RATE, PROCEDURAL COMPLICATIONS AND CLINICAL OUTCOMES OF CORONARY INTERVENTIONS IN OCTOGENARIANS: A CASE-CONTROL STUDY

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POORHOSSEINI HAMIDREZA; MOUSAVI MEHDI; NEMATIPOUR EBRAHIM; KASSAIAN SEYED EBRAHIM; SALARIFAR MOJTABA; ALIDOOSTI MOHAMMAD; HAJIZEINALI ALIMOHAMMAD; NOZARI YOUNES; AMIRZADEGAN ALIREZA; HOSSEINI SEYED KIANOOSH; SHEIKHFATHOLLAHI MAHMOOD

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Journal: THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER Year:2011 | Volume:6 | Issue:3 Page(s): 126-133

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Title

SUCCESS RATE, PROCEDURAL COMPLICATIONS AND CLINICAL OUTCOMES OF CORONARY INTERVENTIONS IN OCTOGENARIANS: A CASE-CONTROL STUDY

Author(s)

Keywords

AGED

80 AND OVER

ANGIOPLASTY

CORONARY ARTERY DISEASE

TREATMENT OUTCOME

Abstract

Background: Clinical trials of revascularization have routinely under-enrolled elderly subjects. Thus, symptom relief and improved survival might not apply to elderly patients, in whom the risk of mortality and disability from revascularization procedures seems to be high and co-morbidity is more prevalent. The present case control study was performed to draw a comparison in terms of the procedural success, procedural and in-hospital complications, and major adverse cardiac events (MACE) in a one-year follow-up of octogenarians (age ³ 80 years) with a selected matched younger control group in the Tehran Heart Center ANGIOPLASTY Registry.Methods: According to the Tehran Heart Center Interventional Registry of 9, 250 patients with a minimum follow-up period of one year between April 1993 and February 2010, 157 percutaneous coronary intervention (PCI) procedures were performed in 112 octogenarians. Additionally, 336 younger patients (459 PCI procedures) were selected from the database as the propensity-score matched controls.Results: There were 147 (93.6%) and 441 (96.1%) successful PCI procedures in the elderly group and control group, respectively (p value=0.204). Procedural complications were seen in 5 (3.2%) of the elderly group and 16 (3.5%) of the control group (p value=0.858). Totally, 7 (6.3%) in-hospital complications occurred in the elderly group and 22 (6.8%) in the control group (p value=0.866). One-year MACE was seen in 9 (9.1%) of the elderly and 18 (5.8%) of the control group (p value=0.26).Conclusion: Procedural success and complications, in-hospital complications, and one-year MACE were not significantly different between our two study groups. Therefore, age alone should not be used as the sole criterion when considering revascularization procedures. Furthermore, PCI should not be refused in octogenarians if indicated.

Cites

Mean Platelet Volume and Major Adverse Cardiac Events following Percutaneous Coronary Intervention

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APA: Copy

POORHOSSEINI, HAMIDREZA, MOUSAVI, MEHDI, NEMATIPOUR, EBRAHIM, KASSAIAN, SEYED EBRAHIM, SALARIFAR, MOJTABA, ALIDOOSTI, MOHAMMAD, HAJIZEINALI, ALIMOHAMMAD, NOZARI, YOUNES, AMIRZADEGAN, ALIREZA, HOSSEINI, SEYED KIANOOSH, & SHEIKHFATHOLLAHI, MAHMOOD. (2011). SUCCESS RATE, PROCEDURAL COMPLICATIONS AND CLINICAL OUTCOMES OF CORONARY INTERVENTIONS IN OCTOGENARIANS: A CASE-CONTROL STUDY. THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER, 6(3), 126-133. SID. https://sid.ir/paper/301996/en

Vancouver: Copy

POORHOSSEINI HAMIDREZA, MOUSAVI MEHDI, NEMATIPOUR EBRAHIM, KASSAIAN SEYED EBRAHIM, SALARIFAR MOJTABA, ALIDOOSTI MOHAMMAD, HAJIZEINALI ALIMOHAMMAD, NOZARI YOUNES, AMIRZADEGAN ALIREZA, HOSSEINI SEYED KIANOOSH, SHEIKHFATHOLLAHI MAHMOOD. SUCCESS RATE, PROCEDURAL COMPLICATIONS AND CLINICAL OUTCOMES OF CORONARY INTERVENTIONS IN OCTOGENARIANS: A CASE-CONTROL STUDY. THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER[Internet]. 2011;6(3):126-133. Available from: https://sid.ir/paper/301996/en

IEEE: Copy

HAMIDREZA POORHOSSEINI, MEHDI MOUSAVI, EBRAHIM NEMATIPOUR, SEYED EBRAHIM KASSAIAN, MOJTABA SALARIFAR, MOHAMMAD ALIDOOSTI, ALIMOHAMMAD HAJIZEINALI, YOUNES NOZARI, ALIREZA AMIRZADEGAN, SEYED KIANOOSH HOSSEINI, and MAHMOOD SHEIKHFATHOLLAHI, “SUCCESS RATE, PROCEDURAL COMPLICATIONS AND CLINICAL OUTCOMES OF CORONARY INTERVENTIONS IN OCTOGENARIANS: A CASE-CONTROL STUDY,” THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER, vol. 6, no. 3, pp. 126–133, 2011, [Online]. Available: https://sid.ir/paper/301996/en

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