Safety of Contemporary Percutaneous Peripheral Arterial Interventions in the Elderly

Autor: M. Ashraf Mansour, Stanley Chetcuti, David Share, P. Michael Grossman, Paul Bove, Khan Munir, Benjamin R. Plaisance, Arthur L. Riba, Hitinder S. Gurm, James M. Fox, Bmc Pvi
Rok vydání: 2011
Předmět:
Zdroj: JACC: Cardiovascular Interventions. 4:694-701
ISSN: 1936-8798
DOI: 10.1016/j.jcin.2011.03.012
Popis: Objectives This study sought to evaluate the effect of age on procedure type, periprocedural management, and in-hospital outcomes of patients undergoing lower-extremity (LE) peripheral vascular intervention (PVI). Background Surgical therapy of peripheral arterial disease is associated with significant morbidity and mortality in the elderly. There are limited data related to the influence of advanced age on the outcome of patients undergoing percutaneous LE PVI. Methods Clinical presentation, comorbidities, and in-hospital outcomes of patients undergoing LE PVI in a multicenter, multidisciplinary registry were compared between 3 age groups: Results In our cohort, 7,769 patients underwent LE PVI. The elderly patients were more likely to be female and to have a greater burden of comorbidities. Procedural success was lower in the elderly group (74.2% for age ≥80 years vs. 78% for age 70 to Conclusions Contemporary PVI can be performed in elderly patients with high procedural and technical success with low rates of periprocedural complications including mortality. These findings may support the notion of using PVI as a preferred revascularization strategy in the treatment of severe peripheral arterial disease in the elderly population.
Databáze: OpenAIRE