Official journal of the Slovak Society of Cardiology,
Slovak Society of Hypertension and Slovak Association for Cardiac Arrhythmias

Cardiology Letters 2013, 22(2):109-114

Carotid artery stenting in octogenarians in high volume centre

Madaric J1, Vulev I2, Klepanec A2, Urlandova T1, Balazs T2, Hladikova D1, Bazik R2, Margitfalviova J1, Liska B1
1 Dept. of Cardiology and Angiology
2 Dept. of Diagnostic and Interventional Radiology, National Cardiovascular Institute, Bratislava, Slovak Republic

Background: There is conflicting data about the risk of stroke and death among elderly patients (pts) undergoing carotid artery stenting (CAS). Accordingly, the aim of our study was to analyze early and mid-term results of CAS performed in a high-volume centre in octogenarians when compared to the younger population.

Methods: The 53 consecutive CAS pts of ≥ 80 years of age (mean age 83±3 years, group A) and 236 consecutive CAS pts <80 years of age (mean age 67±7 years, group B) were treated in the high-volume centre with extensive CAS experience. The 30-day and 6-month follow-up data including neurological complications, myocardial infarction (MI) and all-cause mortality after CAS procedure were evaluated. 98% of procedures were performed under distal filter protection.

Results: Technical success of procedure was 99% (286 pts, 51 group A, 235 group B). There was no in-hospital mortality or 30-day MI in the overall group of pts. The 30-day and 6-month major stroke/mortality rate was 1.7% (5 pts), and 5.2% (15 pts), respectively. There was no significant difference in 30-day major stroke/ mortality rate [3.9% vs 1.3%, OR 1.03 (0.97-1.09)], nor in 6-month follow-up results [7.8% vs 4.6%, OR 1.03 (0.95-1.13)] in groups A and B.

Conclusion: Carotid artery stenting performed in the high-volume centre is associated with acceptable low 30-day as well as 6-month morbidity/mortality rate regardless of age. Though there is a trend towards the higher frequency of adverse events in the elderly population, our results do not support exclusion of octogenarians from CAS in a high-volume centre. Fig. 1, Tab. 4, Ref. 18, Online full text (Free, PDF) www. cardiology.sk

Keywords: carotid artery stenting; octogenarians; stroke; atherosclerosis; high-volume centre

Published: February 1, 2013  Show citation

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Madaric J, Vulev I, Klepanec A, Urlandova T, Balazs T, Hladikova D, et al.. Carotid artery stenting in octogenarians in high volume centre. Cardiology Letters. 2013;22(2):109-114.
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