CAROTID ANGIOPLASTY AND STENTING IN OCTOGENARIANS
CAROTID ANGIOPLASTY AND STENTING IN OCTOGENARIANS. IS IT SAFE?
M. Henry1 , A. Polydorou2, I. Henry3, A.D. Polydorou2, M. Hugel1
1Cabinet de Cardiologie, Nancy, France, 2Panteleimon General Hospital Athens, Greece, 3Polyclinique, Bois-Bernard, France
Purpose: The aim of the study was to evaluate whether carotid artery stenting (CAS) performed in octogenarians increases the procedure related risk, as carotid endarterectomy.
Methods: 870 patients (male 626) mean age 70.9 ± 9.3y underwent 930 CAS. Indications for treatment: symptomatic carotid stenosis ³ 70 % (n=577) or asymptomatic stenosis ³ 80 %. Patients separated into 2 age groups: < 80 y (749 patients, 806 CAS) and >80 y (121 patients, 124 CAS). 187 CAS performed without protection (N.P-) 6 patients >80 y, 743 with protection (NP+) 118 patients >80 y
Results: Technical success< 80 years: 804 / 806>80 years: 123 / 12430 day outcomes:< 80 years9 TIA (1,1%)3 without N.P (1,7%), 6 with NP (0,9%),5 minor strokes (0,6%) 2 without N.P (1,1%), 3 with N.P (0,5%),3 major strokes 2 without N.P (1,1%), 1 with N.P (0,2%)5 deaths (0,6%), 2 without N.P (1,1%), 3 with N.P (0,5%)Death/ Stroke/ M.I: 14 (1,8%), 6 without N.P (3,3%) 8 with N.P (1,3%)> 80 years2 TIA (1,7%)1 without NP (17%), 1 with NP (0,92%)1 minor stroke without N.P (17%), no major stroke, no death. Death stroke M.I: 1 without N.P (17%)
Conclusion: CAS can be performed in elderly patients without higher risk than in younger patients. Good indications, meticulous technique, protection devices are mandatory and some technical points must be pointed out.
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