Table of Contents
Advances in Vascular Medicine
Volume 2015, Article ID 751293, 7 pages
http://dx.doi.org/10.1155/2015/751293
Research Article

Unprotected Left-Main Coronary Angioplasty in the Elderly in a High Volume Catheterization Centre without On-Site Surgery Facilities: Immediate and Medium Term Outcome—The Old-Placet Registry

Ospedale degli Infermi, ASL TO 3, Via Rivalta 27, Rivoli, 10098 Turin, Italy

Received 26 August 2014; Revised 4 February 2015; Accepted 11 February 2015

Academic Editor: Arnon Blum

Copyright © 2015 A. Gagnor et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We aim to assess clinical feasibility and efficacy of unprotected left main (ULM) percutaneous coronary intervention (PCI) in patients older than 75 years over a 6-year period and with 2-year follow-up demonstrating that PCI is a feasible revascularization strategy even in absence of on-site cardiothoracic support. Nevertheless, the outcome of these high-risk patients is still hampered by a sensible in-hospital mortality rate. Older patients have a higher mortality at follow-up (10.0 versus 0.8%, P = 0.014), while younger patients have a low mortality after the acute phase (15.7 versus 8.4%, P = 0.15).