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Abstract
The angiographic findings of 84 consecutive octogenarians presenting with symptoms
of coronary artery disease (CAD) were examined to determine the extent of CAD as well
as suitability for both coronary artery bypass grafting (CABG) and percutaneous transluminal
coronary angioplasty (PTCA). The frequency of 0-, 1-, 2-, and 3-vessel and left main
CAD was 7, 14, 21, 57 and 13%, respectively. Based on angiographic criteria, 69 of
78 patients (88%) with significant CAD had suitable coronary anatomy for CABG. Only
24 patients (31%) had coronary anatomy amenable to PTCA. CABG was performed in 19
patients with an operative mortality of 16% and major complication rate of 37%. PTCA
was performed in 12 patients with a clinical success rate of 83%, mortality of 8%
and major complication rate of 8%. It is concluded that in octogenarians with CAD,
cardiac catheterization will often reveal coronary anatomy that is suitable for CABG
but less suitable for PTCA. The morbidity and mortality associated with these interventions
are high.
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years.Article Info
Publication History
Accepted:
July 12,
1990
Received:
November 30,
1989
Identification
Copyright
© 1990 Published by Elsevier Inc.
