Carotid Artery Stenting Found to be Safe in the Elderly
(CHICAGO) – Researchers at Thomas Jefferson University Hospital
Their research showed that while the instance of adverse events (stroke, heart attack, death) increases with age in this high-risk population, in comparison to historical data, the risk remains extremely low, at 6 percent, even in those ages 85 and up. Previous studies of elderly patients showed only a 7 percent risk of stroke, heart attack or death following carotid stent placement.
Nicholas J. Ruggiero, II
Researchers retrospectively reviewed data on 5,005 high-risk patients undergoing CAS from the National Cardiovascular Data Registry (NCDR) CARE ® registry using patient demographics, provider and facility characteristics, the use of balloons, stents, and embolic protection devices, medications and neurological status, adverse event rates, and more.
The team stratified the patients into four age intervals: ages 70-74, 75-79, 80-84 and 85 and older. They found the rate of stroke, heart attack or death did not exceed 4.5 percent up to age 85. They did, however, observe an increasing rate of adverse neurologic events with age.
Ruggiero says the findings are significant and could impact patient care.
“As one of the largest series to look at the safety and effectiveness of CAS in older adults, we are encouraged that this potentially life-saving procedure can be safely extended to even our oldest patients.”
Other authors on the study include Brian Hynes MD, and Kenneth Rosenfield, MD from Massachusetts General Hospital, Boston MA. Kevin Kennedy from St. Luke’s Mid America Heart, Kansas City , MO and Kumar Rajamani, MD, Seemant Chaturvedi from Wayne State University, Detroit, MI.