In-hospital outcomes of emergent and elective percutaneous coronary intervention in octogenarians
In-hospital outcomes of emergent and elective percutaneous coronary intervention in octogenarians
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DOI：
10.1097/mca.0b013e3283292ae1
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发表时间：
2009-03-01
影响因子：
1.8
通讯作者：
Jang, Ik-Kyung
中科院分区：
文献类型：
--
作者：
Merchant, Faisal M.;Weiner, Rory B.;Jang, Ik-Kyung
尽管冠状动脉疾病的患病率随着年龄的增长而增加，但老年患者在临床试验中的代表性不足。我们试图描述在急诊和择期settings.Methods接受经皮冠状动脉介入治疗（PCI）的老年人的短期结果，我们回顾性地确定了所有老年人接受PCI在我们的机构从2002年1月至2005年12月。结果A组91例，B组88例，均为择期PCI患者。手术成功率较高，两组中超过90%的患者实现了心肌梗死溶栓3级血流。A组术后并发症发生率较高，包括急性肾功能衰竭（47 vs. 8%）和需要输血的出血（51 vs. 17%）（P
Objectives Although the prevalence of coronary artery disease increases with age, elderly patients are underrepresented in clinical trials. We sought to describe the short-term outcomes of octogenarians undergoing percutaneous coronary intervention (PCI) in both emergent and elective settings.Methods We retrospectively identified all octogenarians undergoing PCI at our institution from January 2002 to December 2005. The outcomes of those undergoing primary PCI for ST-segment elevation myocardial infarction (group A) were compared with a randomly selected cohort of octogenarians undergoing elective PCI (group B).Results Group A comprised 91 patients and group B 88 patients. Procedure success was high with Thrombolysis in Myocardial Infarction grade 3 flow achieved in greater than 90% of patients in both groups. Group A experienced more postprocedure morbidity including acute renal failure (47 vs. 8%) and bleeding requiring transfusion (51 vs. 17%) (P