Observation on effect of rotational atherectomy followed by drug-eluting stents implantation in patients age ≥65 years with severe calcified coronary lesions

doi:10.3969/j.issn.1006-7795.2021.01.017

Journal of Capital Medical University ›› 2021, Vol. 42 ›› Issue (1): 101-104.doi: 10.3969/j.issn.1006-7795.2021.01.017

• Clinical Research • Previous Articles Next Articles

Observation on effect of rotational atherectomy followed by drug-eluting stents implantation in patients age ≥65 years with severe calcified coronary lesions

Hu Bin, Zhou Yujie^*, Jia Dean, Qin Zheng, Xu Xiaohan, Yang Shiwei, Zhou Zhimin

Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Disease, Beijing Key Laboratory of Precision Medicine of Coronary Atherosclerotic Disease, Clinical Center for Coronary Heart Disease, Capital Medical University, Beijing 100029, China

Received:2020-04-09 Online:2021-02-21 Published:2021-02-02
Contact: ^*E-mail:azzyj12@163.com
Supported by:
National Key Research and Development Program of China (2017YFC0908800),Beijing Municipal Administration of Hospitals’and Ascent Plan (DFL20150601), Beijing Municipal Administration of Hospitals’ Mission Plan (SML20180601),Beijing Municipal Health Commission “Project of Science and Technology Innovation Center”(PXM2019_026272_000006,PXM2019_026272_000005).

Abstract

Abstract: Objective To assess the effect of coronary rotational atherectomy followed by drug-eluting stents implantation in patients age ≥65 years with complex calcified coronary lesions. Methods A total of 198 consecutive patients with coronary artery disease receiving rotational atherectomy from January 2016 to December 2017 were retrospectively analyzed.Patients were divided into an ≥65 years group(n=116) and a <65 years group (n=82). We compared the characteristics of rotational atherectomy, peri-procedural complications and 1-year major adverse cardiac events (MACE), comprised of cardiac death, miocardial infarction, target vessel revascularization. Results The incidence of peri-procedural complications had no significant difference between the≥65 years group and the<65 years group(18.9％ vs 13.3％, P=0.202).And the rate of MACE was similar in the ≥65 years and <65 years groups (10.3% vs 7.3％, P=0.320). Conclusion Coronary rotational atherectomy followed by drug-eluting stents implantation is a safe and effective treatment strategy in patients age ≥65 years with complex calcified coronary lesions.

Key words: rotational atherectomy, drug-eluting stents, coronary artery disease

CLC Number:

R541.14

Hu Bin, Zhou Yujie, Jia Dean, Qin Zheng, Xu Xiaohan, Yang Shiwei, Zhou Zhimin. Observation on effect of rotational atherectomy followed by drug-eluting stents implantation in patients age ≥65 years with severe calcified coronary lesions[J]. Journal of Capital Medical University, 2021, 42(1): 101-104.

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Observation on effect of rotational atherectomy followed by drug-eluting stents implantation in patients age ≥65 years with severe calcified coronary lesions

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