Department of Surgery, University of Turin, Italy
Mini Review
Unprotected left main angioplasty in the elderly at a High Flow Catheter Center without an on-site surgical facility: Immediate and intermediate results - The Old Placet Registry
Author(s): Gagnor Alia*
Our objective was to evaluate the clinical feasibility and efficacy of
unprotected left primary percutaneous coronary intervention (ULM) in
patients over 75 years of age over a period of 6 years and at follow-up.
A 2-year follow-up demonstrates that PCI is a viable revascularization
strategy even in the absence of local cardiovascular support. However,
the future of these high-risk patients remains hampered by reasonable
in-hospital mortality. Older patients had a higher mortality at follow-up
(10.0 vs 0.8%, P = 0.014), while younger patients had a lower mortality
after the acute phase vs. 8.4%, P = 0.15). The incidence of unprotected
left coronary artery disease (ULM) during diagnostic coronary
angiography varies from 4 to 7% and increases with age. Even recent
recommendations consider coronary artery bypass grafting (CABG) as
the preferred revascu.. View More»
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