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 | Zendy

Andrea Gagnor | Zendy; Francesco Tomassini | Zendy; Enrico Cerrato | Zendy; Cristina Rolfo | Zendy; Alfonso Gambino | Zendy; Sara Giolitto | Zendy; Elisa Favro | Zendy; Mario Bollati | Zendy; Emanuele Tizzani | Zendy; F Varbella | Zendy

Open Access

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

Author(s) -

Andrea Gagnor,

Francesco Tomassini,

Enrico Cerrato,

Cristina Rolfo,

Alfonso Gambino,

Sara Giolitto,

Elisa Favro,

Mario Bollati,

Emanuele Tizzani,

F Varbella

Publication year - 2015

Publication title -

advances in vascular medicine

Language(s) - English

Resource type - Journals

eISSN - 2356-6914

pISSN - 2314-7830

DOI - 10.1155/2015/751293

Subject(s) - medicine , conventional pci , percutaneous coronary intervention , angioplasty , cardiac catheterization , revascularization , surgery , cardiology , myocardial infarction

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)

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