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European Heart Journal 1994 15(2):213-217;
Copyright © 1994 by the European Society of Cardiology.
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© 1994 The European Society of Cardiology

Coronary angioplasty in patients 75 years and older; comparison with coronary bypass surgery

J. P. METZGER, X. TABONE, J. L. GEORGES, C. GUENICHE, J. P. DETIENNE, C. LE FEUVRE and A. VACHERON

Clinique Cardiologique de I'Hôpital Necker Paris, France

Received 31 March 1993; revised 15 September 1993; .

Coresspondence: J. P. Metzger, Clinique Cardiologique, Hôpital Necker, 149 rue de Sèvres, 75015 Paris, France

Abstract

From November 1988 to May 1992, 108 patients (79 men, 29 women) 75 years or older (mean 78 ± 3, range 75–90 years) underwent coronary angioplasty (group I: n=62) or coronary bypass surgery (group II: n=46). Group II patients were younger (76 ± 2 vs 79 ±4, P=0·002) and had a higher proportion of multivessel disease. The two groups were comparable it with regard to the presence of unstable angina, left ventricular ejection fraction and Q wave infarction. In-hospital mortality was similar in the two groups (6·4vs4·3%). Complete revascularization (72% vs 47%, P<0·05) and left anterior descending artery revascularization (100% vs 45%, P<0·01) were more frequent in group II. Two-year infarction-free survival was similar (group I: 76± 6% group II. 79 ± 6%) but recurrent class III or IV angina (36% vs 9 P<0·05) and repeat procedures (26% vs 0%, P<0·05) were more frequent in group I.

Key Words: Coronary angioplasty • bypass graft surgery


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