TY - JOUR
T1 - Outcomes of intravascular ultrasound-guided percutaneous coronary intervention with drug-eluting stents versus bare metal stents for acute coronary syndrome in octogenarians
AU - Maekawa, Yuichiro
AU - Kawamura, Akio
AU - Yuasa, Shinsuke
AU - Ohno, Yohei
AU - Arai, Takahide
AU - Numasawa, Yohei
AU - Endo, Ayaka
AU - Fukuda, Keiichi
PY - 2011/11
Y1 - 2011/11
N2 - 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.
AB - 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.
KW - IVUS-guided PCI
KW - acute coronary syndrome
KW - octogenarians
UR - http://www.scopus.com/inward/record.url?scp=80054744795&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80054744795&partnerID=8YFLogxK
U2 - 10.1177/0003319711403733
DO - 10.1177/0003319711403733
M3 - Article
C2 - 21511681
AN - SCOPUS:80054744795
VL - 62
SP - 620
EP - 624
JO - Angiology
JF - Angiology
SN - 0003-3197
IS - 8
ER -