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https://www.readbyqxmd.com/read/29243834/outcome-of-octogenarians-with-atrial-fibrillation-undergoing-percutaneous-coronary-intervention-insights-from-the-afcas-registry
#1
Heli M Lahtela, Aissa Bah, Tuomas Kiviniemi, Wail Nammas, Axel Schlitt, Andrea Rubboli, Pasi P Karjalainen, Marco Proietti, Juha E K Hartikainen, Gregory Y H Lip, K E Juhani Airaksinen
BACKGROUND: More evidence is needed on the optimal antithrombotic regimen in elderly patients with atrial fibrillation (AF) undergoing percutaneous coronary intervention (PCI). HYPOTHESIS: Octogenarian patients (aged ≥80 years) with AF who underwent PCI have worse 12-month clinical outcome, compared with younger patients. METHODS: We performed a post-hoc analysis of data from the prospective, multicenter AFCAS registry, which enrolled consecutive patients with AF who underwent PCI and stenting...
December 15, 2017: Clinical Cardiology
https://www.readbyqxmd.com/read/29238363/bleeding-outcomes-after-non-emergency-percutaneous-coronary-intervention-in-the-very-elderly
#2
Vimalraj Bogana Shanmugam, Dennis T Wong, Hashrul Rashid, James D Cameron, Yuvaraj Malaiapan, Peter J Psaltis
Background: Octogenarians constitute an increasing proportion of patients presenting for non-emergency percutaneous coronary intervention (PCI). Methods: This study evaluated the in-hospital procedural characteristics and outcomes, including the bleeding events of 293 octogenarians presenting between January 2010 and December 2012 for non-emergency PCI to a single large volume tertiary care Australian center. Comparisons were made with 293 consecutive patients aged less than or equal to 60 years, whose lesions were matched with the octogenarians...
October 2017: Journal of Geriatric Cardiology: JGC
https://www.readbyqxmd.com/read/29174752/acute-coronary-syndrome-in-octogenarians-expect-the-unexpected
#3
Samuel T Parnell, Austin T Smith
BACKGROUND: Ischemic heart disease is the leading cause of death in the United States and the world. Advanced age is the strongest risk factor for ischemic heart disease and the best independent predictor for poor outcomes after acute coronary syndrome (ACS). Elderly patients are at high risk for ACS, and numerous studies have shown that octogenarians in particular experience increased morbidity and mortality compared to younger patients. CASE REPORT: We describe a case of an 83-year-old woman who presented to the emergency department with a chief complaint of sore throat and was found to have a non-ST elevation myocardial infarction (NSTEMI) and was treated successfully with primary coronary intervention (PCI)...
November 22, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29027735/temporal-trends-in-percutaneous-coronary-interventions-thru-the-drug-eluting-stent-era-insights-from-18-641-procedures-performed-over-12-year-period
#4
Uri Landes, Tamir Bental, Amos Levi, Abid Assali, Hana Vaknin-Assa, Eli I Lev, Eldad Rechavia, Gabriel Greenberg, Katia Orvin, Ran Kornowski
BACKGROUND: The last decade, regarded as the DES era in PCI, has witnessed significant advances in the management of coronary disease. We aimed to assess temporal trends in the practice and outcome of percutaneous coronary intervention (PCI) during the drug eluting stent (DES) era. METHODS: We analyzed 18,641 consecutive PCI's performed between January 2004 and December 2016, distinguished by procedural date (Q1 : 2004-2006, n = 4,865; Q2 : 2007-2009, n = 4,977; Q3 : 2010-2012, n = 4,230; Q4 : 2013-2016, n = 4,569)...
October 13, 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28603591/clinical-characteristics-and-outcomes-of-octogenarians-presenting-with-st-elevation-myocardial-infarction-in-the-australian-population
#5
Wei Liang Sim, Vivek Mutha, Muhammad Asrar Ul-Haq, Victoria Sasongko, William Van-Gaal
AIM: To investigate the characteristics and outcomes of octogenarians who presented with ST-elevation myocardial infarction (STEMI) compared to non-octogenarians and to investigate the outcomes of octogenarians that received primary percutaneous coronary intervention (PCI) compared to those managed conservatively. METHODS: We performed a single center retrospective case controlled study. All octogenarians who presented with STEMI to a tertiary referring hospital between 2007 and 2012 were included...
May 26, 2017: World Journal of Cardiology
https://www.readbyqxmd.com/read/28600019/safety-and-efficacy-outcomes-of-second-generation-everolimus-eluting-stents-in-octogenarians-compared-to-non-octogenarians
#6
Hironori Kitabata, Takashi Kubo, Kazuya Mori, Yasunori Yamamoto, Manabu Kashiwagi, Yu Arita, Takashi Tanimoto, Takashi Akasaka
BACKGROUND: In patients ≥80 years of age, the use of second-generation cobalt-chromium everolimus-eluting stents (CoCr-EES) versus bare-metal stents has been shown to reduce myocardial infarction (MI) and target vessel revascularization (TVR) rates, without an increase in bleeding. However, safety and efficacy of CoCr-EES in octogenarians compared to younger populations are less certain. We aimed to compare the clinical outcomes between octogenarian and non-octogenarian patients undergoing percutaneous coronary intervention (PCI) with CoCr-EES...
June 1, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/28031245/robotic-enhanced-coronary-surgery-in-octogenarians
#7
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...
March 1, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/27899937/predictive-value-of-syntax-score-ii-for-clinical-outcomes-in-octogenarian-undergoing-percutaneous-coronary-intervention
#8
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
https://www.readbyqxmd.com/read/27595335/octogenarians-died-mainly-of-cardiovascular-diseases-five-years-after-acute-coronary-syndrome
#9
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
https://www.readbyqxmd.com/read/27553100/comparison-of-the-effects-of-incomplete-revascularization-on-12-month-mortality-in-patients-80-compared-with-%C3%A2-80%C3%A2-years-who-underwent-percutaneous-coronary-intervention
#10
COMPARATIVE STUDY
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
https://www.readbyqxmd.com/read/27506888/primary-percutaneous-coronary-intervention-in-octogenarians
#11
MULTICENTER STUDY
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
https://www.readbyqxmd.com/read/27166075/clinical-outcomes-of-coronary-artery-bypass-grafting-vs-percutaneous-coronary-intervention-in-octogenarians-with-coronary-artery-disease
#12
REVIEW
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
https://www.readbyqxmd.com/read/27090995/predictors-of-in-hospital-mortality-in-octogenarian-patients-who-underwent-primary-percutaneous-coronary-intervention-after-st-segment-elevated-myocardial-infarction
#13
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 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/26910467/impact-of-transradial-coronary-intervention-on-bleeding-complications-in-octogenarians
#14
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
https://www.readbyqxmd.com/read/26828382/data-supporting-the-use-of-the-radial-approach-as-the-default-strategy-in-octogenarians-undergoing-primary-pci
#15
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
https://www.readbyqxmd.com/read/26451095/acute-coronary-syndrome-in-octogenarians-association-between-percutaneous-coronary-intervention-and-long-term-mortality
#16
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
https://www.readbyqxmd.com/read/26433163/comparison-of-transradial-and-transfemoral-coronary-intervention-in-octogenarians-with-acute-myocardial-infarction
#17
COMPARATIVE STUDY
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
https://www.readbyqxmd.com/read/26352246/coronary-artery-bypass-grafting-in-octogenarians-only-when-percutaneous-coronary-intervention-is-not-feasible
#18
REVIEW
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
https://www.readbyqxmd.com/read/26241641/percutaneous-coronary-intervention-in-the-elderly
#19
REVIEW
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
https://www.readbyqxmd.com/read/25563471/in-hospital-outcomes-and-mortality-in-octogenarians-after-percutaneous-coronary-intervention
#20
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
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