Outcomes of intravascular ultrasound-guided percutaneous coronary intervention with drug-eluting stents versus bare metal stents for acute coronary syndrome in octogenarians

Yuichiro Maekawa, Akio Kawamura, Shinsuke Yuasa, Yohei Ohno, Takahide Arai, Yohei Numasawa, Ayaka Endo, Keiichi Fukuda

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

The number of percutaneous coronary interventions (PCI) performed for octogenarians with acute coronary syndrome (ACS) continue to increase. The short- and long-term outcomes of intravascular ultrasound (IVUS)-guided PCI with drug-eluting stents (DES) or bare metal stents (BMS) for ACS in octogenarians, however, remain largely unknown. We analyzed clinical outcomes of octogenarians undergoing IVUS-guided PCI for ACS with either DES or BMS. During the study period, a total of 776 patients with ACS underwent IVUS-guided PCI and 75 of them were octogenarians. In-hospital mortality tended to be lower in the DES group than in the BMS group. Between 6 months and 1 year of follow up, treatment with DES compared with BMS tended to result in fewer target lesion revascularizations. Major adverse cardiac events were similar between patients receiving DES and BMS. In octogenarians with ACS treated with IVUS-guided PCI, DES appears as safe as BMS, providing similar short- and long-term outcomes.

Original languageEnglish
Pages (from-to)620-624
Number of pages5
JournalAngiology
Volume62
Issue number8
DOIs
Publication statusPublished - 2011 Nov

Keywords

  • IVUS-guided PCI
  • acute coronary syndrome
  • octogenarians

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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