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. (23rd February 2015)

• Record Type: Journal Article
• Authors: Gagnor, A.; Tomassini, F.; Cerrato, E.; Rolfo, C.; Gambino, A.; Giolitto, S.; Favro, E.; Bollati, M.; Tizzani, E.; Varbella, F.
• Other Names: Blum Arnon Academic Editor.
• Is Part Of: Advances in vascular medicine. Volume 2015(2015)
• Publication Date: 2015-02-23
• Subjects: Cardiovascular system -- Diseases -- Periodicals; Blood-vessels -- Diseases -- Periodicals; Blood-vessels -- Diseases; Cardiovascular system -- Diseases; Vascular Diseases; Periodicals; 616.13
• DOI: 10.1155/2015/751293
• Languages: English
• ISSNs: 2356-6914

Abstract

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).