Angioplastía coronaria en pacientes octogenarios / Coronary angioplasty in octogenarians patients

ABSTRACT

Introduction: According to international literature, the percutaneus coronary angioplasty (PTCA) can be performed in octogenarian with a high rate of success and favorable long term prognosis. There are no Chilean publications about PTCA in octogenarian patients. Objective: To show our experience in octogenarian patients who underwent PTCA. Material and method: From a serial prospective registration of patients who underwent coronary angiography studies between 1992and 2005, all the octogenarian patients subjected to PTCA were evaluated, being described their pre and in-hospital variables, with emphasis in the results of the PTCA Results: Of a total of 7262 patients, 77 octogenarian patients underwent PTCA (1percent). The average age was 83.2 +/- 3.4 years, 54.5 percent male. They were studied mainly by myocardial infraction (MI) (55.8 percent) and unstable angina (29.8 percent). 59.7 percent were hypertensive and 19.4 percent had diabetes. The angiographic study showed mainly single vessel (37.6 percent) and two vessel disease in 32.4 percent. The PTCA was elective in 57.1 percent, the rest were emergency procedures. The PTCA was successful in 88.3 percent. There were no intra procedure complications, and 7 patients presented smaller post procedure complications. 11 patients (14.3 percent) died; 10 because of MI. 66 were discharged without complications. Conclusion: The PTCA is a feasible procedure to perform in octogenarian patients, with good immediate results.