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Pci octogenarian

Apostolos Roubelakis, Filip Casselman, Johan van der Merwe, Bernard Stockman, Ivan Degrieck, Frank Van Praet
OBJECTIVES: Robotic-enhanced minimally invasive direct coronary artery bypass grafting surgery (RE-MIDCAB) is based on the use of a robotic console and instrumentation for the dissection of the left internal thoracic artery (LITA). The LITA to left anterior descending (LAD) artery anastomosis is subsequently constructed through a mini thoracotomy. The purpose of this study is to present our experience of RE-MIDCAB outcomes in elderly patients. METHODS: From 2002 until 2015, 44 octogenarians (the mean age of 82...
December 27, 2016: Interactive Cardiovascular and Thoracic Surgery
Evan Kurniawan, Feng-Hua Ding, Qi Zhang, Zhen-Kun Yang, Jian Hu, Wei-Feng Shen, Rui-Yan Zhang
OBJECTIVE: To evaluate the predictive value of SYNTAX Score II (SS-II) for percutaneous coronary intervention (PCI) in octogenarian (≥ 80 years old) undergoing PCI. METHODS & RESULTS: Data from three consecutive years of octogenarian undergoing PCI from Ruijin Hospital (Shanghai, China) was retrospectively collected (n = 308). Follow up clinical data at one year including all cause mortality, cardiac mortality and main adverse cardiovascular and cerebrovascular events (MACCE) were collected...
September 2016: Journal of Geriatric Cardiology: JGC
Salim Bary Barywani, Max Petzold
OBJECTIVE: A substantial part of deaths and readmissions in octogenarians with acute coronary syndrome (ACS) is assumed to be of non-cardiovascular causes. However, limited data on cause-specific long-term mortality and hospital readmissions are available. This study was aimed to investigate 5-year cause-specific deaths and re-hospitalizations as well as their prognostic predictors among octogenarians with ACS managed with percutaneous coronary intervention (PCI). METHODS: A total of 181 octogenarians managed with PCI on ACS indication during 2006-2007 at Sahlgrenska University Hospital were included...
October 2016: Scandinavian Cardiovascular Journal: SCJ
Khaled Yazji, Fairoz Abdul, Senthil Elangovan, Nick Ossei-Gerning, Anirban Choudhury, James Cockburn, Richard Anderson, Mamas Mamas, Tim Kinnaird
Although randomized trial data suggest that complete revascularization improves outcomes after percutaneous coronary intervention (PCI), the impact of differing revascularization strategies in octogenarians is not well defined. We performed a retrospective analysis, which was conducted of 9,628 consecutive patients who underwent PCI at a large UK center. Octogenarians were more likely to have significant co-morbidity, a higher Mehran bleed risk score (24.5 ± 6.8 vs 13.3 ± 7.4, p <0.0001), and more complex disease (baseline SYNTAX score 18...
October 15, 2016: American Journal of Cardiology
Beatrice Ricci, Olivia Manfrini, Edina Cenko, Zorana Vasiljevic, Maria Dorobantu, Sasko Kedev, Goran Davidovic, Marija Zdravkovic, Olivija Gustiene, Božidarka Knežević, Davor Miličić, Lina Badimon, Raffaele Bugiardini
BACKGROUND: Limited data are available on the outcome of primary percutaneous coronary intervention (PCI) in octogenarian patients, as the elderly are under-represented in randomized trials. This study aims to provide insights on clinical characteristics, management and outcome of the elderly and very elderly presenting with STEMI. METHODS: 2225 STEMI patients ≥70years old (mean age 76.8±5.1years and 53.8% men) were admitted into the network of the ISACS-TC registry...
November 1, 2016: International Journal of Cardiology
Qin Zhang, Xiao-Hong Zhao, Hai-Feng Gu, Zhe-Rong Xu, Yun-Mei Yang
BACKGROUND: The number of elderly people receiving treatment for coronary artery disease (CAD) is increasing, and there are few studies that compared the outcomes of coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) in the elderly. The objective of this study was to compare outcomes of CABG and PCI in octogenarians with CAD. METHODS: We conducted a search to identify articles that reported the results of 2-arm studies that compared CABG with PCI in octogenarians...
September 2016: Canadian Journal of Cardiology
Gokturk Ipek, Ozge Kurmus, Cemal Koseoglu, Tolga Onuk, Baris Gungor, Ozgur Kirbas, Mehmet B Karatas, Muhammed Keskin, Edibe Betul Borklu, Mert Ilker Hayiroglu, Ozan Tanik, Ahmet Oz, Osman Bolca
AIM: Octogenarian patients have higher mortality and morbidity rates after acute coronary syndromes. Risk factors for in-hospital mortality in the primary percutaneous coronary intervention (PCI) era were underrepresented in previous studies. In the present study, we aimed to assess the risk factors of in-hospital mortality after primary PCI in this population. METHODS: We analyzed 2353 patients who underwent primary PCI after ST segment elevated myocardial infarction (STEMI)...
April 18, 2016: Geriatrics & Gerontology International
Khalid Tammam, Yuji Ikari, Fuminobu Yoshimachi, Fumie Saito, Walid Hassan
Percutaneous coronary intervention (PCI) in the elderly is a major hospital burden since this group of patients exhibits high mortality rates and many comorbidities. The aim of this study was to analyze the impact of a transradial intervention (TRI) approach for PCI on bleeding complications in octogenarians. We retrospectively analyzed a consecutive cohort of 2530 patients who underwent PCI at a tertiary care center in Japan. Octogenarians constituted 12 % (291 cases) of the total PCI cases during the study period...
January 2017: Cardiovascular Intervention and Therapeutics
Ashan Gunarathne, Albert Alahmar, Anthony H Gershlick
BACKGROUND: There is a significant increase in the number of octogenarians undergoing Primary Percutaneous Intervention (PPCI) for ST elevation myocardial infarction Objective: To analyze one year all cause mortality in octogenarians who are admitted with a STEMI and received PPCI in a tertiary cardiac centre in the UK, and to observe the impact of the mode of vascular access on mortality. METHODS: We reviewed registry records of consecutive STEMI patients(N=2951), admitted between 2005 and 2011...
April 1, 2016: International Journal of Cardiology
Salim Bary Barywani, Shijun Li, Maria Lindh, Josefin Ekelund, Max Petzold, Per Albertsson, Lars H Lund, Michael Lx Fu
AIM: Evidence of improved survival after use of percutaneous coronary intervention (PCI) in elderly patients with acute coronary syndrome (ACS) is limited. We assessed the association between PCI and long-term mortality in octogenarians with ACS. METHODS AND RESULTS: We followed 353 consecutive patients aged ≥80 years hospitalized with ACS during 2006-2007. Among them, 182 were treated with PCI, whereas 171 were not. PCI-treated patients were younger and more often male, and had less stroke and dependency in activities of daily living, but there were no significant differences in occurrence of diabetes mellitus, chronic obstructive pulmonary disease, hypertension, and uncured malignancies between the two groups...
2015: Clinical Interventions in Aging
Hye Won Lee, Kwang Soo Cha, Jinhee Ahn, Jung Cheon Choi, Jun-Hyok Oh, Jung Hyun Choi, Han Cheol Lee, Eunyoung Yun, Hye Yoon Jang, Jong Hyun Choi, Taek Jong Hong, Myung Ho Jeong, Youngkeun Ahn, Shung Chull Chae, Young Jo Kim
BACKGROUND: The transradial (TR) approach for percutaneous coronary intervention (PCI) is challenging and associated with failure in elderly patients. We compared the TR and transfemoral (TF) approaches in patients>80 years with acute myocardial infarction (MI) undergoing PCI. METHODS: A total of 1945 (7.2%) octogenarians were enrolled from among 27,129 patients in the Korea Acute Myocardial Infarction Registry. The TR group (n=336, 17.3%) was compared with the TF group (n=1609, 82...
January 1, 2016: International Journal of Cardiology
Francesco Nicolini
PURPOSE OF REVIEW: The aim of this study was to review recent literature reporting the results of coronary revascularization by percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) in patients older than 80 years. RECENT FINDINGS: The review of recent studies on octogenarians demonstrates a surgical CABG advantage in the case of patients with increasing baseline coronary risk, such as severe multivessel disease, chronic total occlusions, and left ventricular dysfunction...
November 2015: Current Opinion in Cardiology
Kully Sandhu, Sunil K Nadar
Our population dynamics are changing. The number of octogenarians and older people in the general population is increasing and therefore the number of older patients presenting with acute coronary syndrome or stable angina is increasing. This group has a larger burden of coronary disease and also a greater number of concomitant comorbidities when compared to younger patients. Many of the studies assessing percutaneous coronary intervention (PCI) to date have actively excluded octogenarians. However, a number of studies, both retrospective and prospective, are now being undertaken to reflect the, "real" population...
November 15, 2015: International Journal of Cardiology
Monika Rynkowska-Kidawa, Marzenna Zielińska, Krzysztof Chiżyński, Michał Kidawa
BACKGROUND: There is systematic growth in the number of number of elderly patients treated with percutaneous coronary intervention (PCI); however, little is known about PCI results in the very elderly (long-lived) patients aged 85 years and above. AIM: To assess the demographic, clinical, and angiographic findings in patients aged > 85 years (GER), undergoing PCI, compared with younger patients treated in the year 2012. METHODS: This was a single centre retrospective study based on a consecutive group of 920 patients with coronary disease (stable and acute coronary syndrome [ACS])...
2015: Kardiologia Polska
Shanmugam Uthamalingam, Imad Ahmado, Vijairam Selvaraj, Robert Dewey, James Flynn
BACKGROUND: Octogenarians have been under-represented in percutaneous coronary intervention (PCI) trials, thus making difficult to choose the best type of stent in this patient population. We compared the outcomes of drug eluting (DES) and bare metal stent (BMS) at one year after implantation in this special population. METHODS: A total of 320 consecutive patients over 80 years undergoing PCI with BMS (n=218) or DES (n=102) were retrospectively studied. One year major adverse cardiac events (MACEs) defined as cardiac death, non-fatal myocardial infarction and target vessel revascularization (TVR) were compared between the two groups...
January 20, 2015: International Journal of Cardiology
Lei Gao, Yuqi Liu, Qiao Xue, Jinwen Tian, Yu Wang
OBJECTIVE: To evaluate the prognostic effects of radial artery access (RA) versus femoral artery access (FA) in octogenarians undergoing percutaneous coronary intervention (PCI) due to acute coronary syndrome (ACS). METHODS: From January 2008 to January 2013, 279 octogenarians with ACS underwent PCI. PCI was performed through RA in 125 patients and FA in another 154. Clinical and procedural characteristics, combined endpoints including death, acute myocardial infarction, stroke, and major bleeding, and peripheral vascular complications were obtained from both groups...
July 8, 2014: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Shijun Li, Salim Barywani, Michael Fu
BACKGROUND: Mitral regurgitation (MR) has been shown to be associated with a poor prognosis in the patients with acute myocardial infarction, whether or not percutaneous coronary intervention (PCI) is employed. However, the long-term prognostic significance of MR in octogenarian patients with acute coronary syndrome (ACS) remains unknown. We sought to determine the impact of MR on long-term all-cause mortality and to further reveal whether PCI could influence the prognosis in octogenarian MR patients with ACS...
September 20, 2014: International Journal of Cardiology
Federico Conrotto, Paolo Scacciatella, Fabrizio D'Ascenzo, Alaide Chieffo, Azeem Latib, Seung Jung Park, Young Hak Kim, Yoshinobu Onuma, Piera Capranzano, Sanda Jegere, Raj Makkar, Igor Palacios, Pawel Buszman, Tarun Chakravarty, Roxana Mehran, Christoph Naber, Ronan Margey, Martin Leon, Jeffrey Moses, Jean Fajadet, Thierry Lefèvre, Marie Claude Morice, Andrejs Erglis, Corrado Tamburino, Ottavio Alfieri, Maurizio D'Amico, Sebastiano Marra, Patrick W Serruys, Antonio Colombo, Emanuele Meliga
Percutaneous coronary intervention (PCI) with drug-eluting stents is an accepted alternative to surgery for the treatment of unprotected left main coronary artery (ULMCA) disease, but the long-term outcome in elderly patients is unclear. Aim of our study was to compare the clinical outcomes of octogenarians with ULMCA disease treated either with PCI with drug-eluting stents or coronary artery bypass grafting (CABG). The primary study end point was the composite of death, cerebrovascular accident, and myocardial infarction at follow-up...
June 15, 2014: American Journal of Cardiology
Ki Hong Lee, Youngkeun Ahn, Sung Soo Kim, Si Hyun Rhew, Young Wook Jeong, Soo Young Jang, Jae Yeong Cho, Hae Chang Jeong, Keun-Ho Park, Nam Sik Yoon, Doo Sun Sim, Hyun Joo Yoon, Kye Hun Kim, Young Joon Hong, Hyung Wook Park, Ju Han Kim, Jeong Gwan Cho, Jong Chun Park, Myung Ho Jeong, Myeong-Chan Cho, Chong Jin Kim, Young Jo Kim
We compared clinical characteristics, management, and clinical outcomes of nonagenarian acute myocardial infarction (AMI) patients (n=270, 92.3 ± 2.3 yr old) with octogenarian AMI patients (n=2,145, 83.5 ± 2.7 yr old) enrolled in Korean AMI Registry (KAMIR). Nonagenarians were less likely to have hypertension, diabetes and less likely to be prescribed with beta-blockers, statins, and glycoprotein IIb/IIIa inhibitors compared with octogenarians. Although percutaneous coronary intervention (PCI) was preferred in octogenarians than nonagenarians, the success rate of PCI between the two groups was comparable...
April 2014: Journal of Korean Medical Science
Afzalur Rahman, Akm Monwarul Islam
With the increase in life expectancy, the proportion of very elderly people is increasing. Coronary artery disease (CAD) is an important cause of mortality and morbidity in this age group, for which myocardial revascularization is often indicated. Percutaneous coronary intervention (PCI) in the very elderly bears the inherent risks of complications and mortality, but the potential benefits may outweigh these risks. A number of observational studies, registries, and few randomized controlled trials have shown the safety and feasibility of PCI in octogenarians and nonagenarians...
March 2014: Korean Circulation Journal
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