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Cardiology Research and Practice
Volume 2010, Article ID 263685, 5 pages
http://dx.doi.org/10.4061/2010/263685
Clinical Study

Immediate and Long-Term Results of Coronary Angioplasty in Patients Aged 80 Years and Older

1Department of Cardiovascular Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China
2The Research Center for Bone And Stem Cells, Nanjing Medical University, Nanjing, Jiangsu 210029, China

Received 10 March 2010; Accepted 11 May 2010

Academic Editor: Hendrik T. Tevaearai

Copyright © 2010 Bo Chen 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

Objectives. To observe the short- and long-term outcomes after percutaneous coronary intervention (PCI) in octogenarians ( y.o.) at our institution. Method. All octogenarians who underwent PCI during the study period were retrospectively retrieved from our database and clinically followed. Major adverse cardiac (and cerebral) events (MAC(C)E) was considered as primary outcome. Results. From January 2003 to December 2007, 140 octogenarians (mean age: 85 y.o., 79% of male) underwent PCI and were clinically followed 14 months. Procedural success was obtained in 100 percent of patients with single vessel disease, in 96 percent of patients with double vessel disease, and in 75 percent of patients with triple vessel disease. In-hospital, 30 days, and one year MACE rates were 5%, 5%, and 10.7%, respectively. Impaired left ventricular (LV) ejection fraction (hazard ratio , 95% confidence interval to 0.964, ), diabetes mellitus ( , 95%   to 18.796, ), and low GFR ( , 95%   , to 7.464, ) were independently associated with an increase risk of MACE at long-term followup. Conclusion. Coronary angiography can be successfully performed in elderly patients with single and double vessel disease. The results in triple vessel disease are encouraging. Low LV function, diabetes, and impaired renal function increase the risk of long-term major adverse cardiac events.