Navigation Links
The Elderly Can Be Candidates for Angioplasty, Stenting
Date:3/18/2008

Those 80 and older may not need to be hospitalized, study says

TUESDAY, March 18 (HealthDay News) -- People over 80 can safely have diagnostic radiology tests and procedures such as artery-opening angioplasty without being hospitalized for their safety, a new study finds.

"The conventional wisdom has been that not only interventional procedures, but also drug trials, might not be safe for people over 80," said Dr. George G. Hartnell, a radiology professor at Tufts University School of Medicine, who was to report the study results Tuesday at the annual meeting of the Society of Interventional Radiology, in Washington, D.C. "The point of our paper was to prove that age by itself was not a risk factor."

Hartnell and his colleagues at Baystate Medical Center in Springfield, Mass., compared the results for such procedures in 64 people 80 and older -- average age 85.1 -- with the same procedures done for 205 people between the ages of 50 and 79.

In the older group, 20 had diagnostic arteriography, an X-ray examination of blood vessels; 20 had angioplasty to open a blocked artery; and 31 had stents placed in arteries. Complications were minimal -- one apparent aneurysm, a weakening of the artery wall that turned out to be nonexistent, and three hematomas that did not require treatment. None of the older people had to be hospitalized.

Complications were about as rare in the younger group, with one hospitalization for a hematoma, an abnormal accumulation of blood, and one for worsening artery blockage.

"My institution several years ago tended to keep these people [over age 80] in the hospital overnight," Hartnell said. "That is much less common now."

Still, he added, "many people are hesitant to do these procedures on the elderly without hospitalization. But hospitals are dangerous places to be. The longer you are in a hospital, the greater the chance that something might happen."

Age alone should not be the deciding factor for a hospital stay for such procedures, said Dr. Curtis W. Bakal, chairman of diagnostic radiology at the Lahey Clinic in Burlington, Mass., and a spokesman for the society. But caution is necessary, he added.

"One has to delve beyond age itself for risk factors, as well as inquiring about someone who will care for these individuals," Bakal said. "I would assume that there is always someone at home to watch after this person."

Bakal said it is necessary to evaluate each person, asking about such issues as heart or kidney problems. "Each patient has to be individually evaluated to see what co-morbidities there might be. Also, before someone leaves, I would want a good idea of how the procedure went so I could make a judgment about sending him home or keeping him in the hospital," he said.

But with all these factors considered, he added, a tendency not to hospitalize "is very believable, and I would think it is right."

A single study can't prove the safety of these procedures for older people, Hartnell acknowledged. "The problem is that the incidence of complications is so low," he said.

More information

You can learn about interventional radiology in general and specific treatments from the Society of Interventional Radiology.



SOURCES: George G. Hartnell, M.D., professor of radiology, Tufts University Medical School, Boston; Curtis W. Bakal, M.D., chairman of radiology, Lahey Clinic, Burlington, Mass.; March 18, 2008, presentation, Society of Interventional Radiology, annual meeting, Washington, D.C.


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Gene Tied to Post-Op Delirium in Elderly
2. Chinas 1-child policy could backfire on its elderly
3. Divorce foretells childs future care for elderly parent
4. Brain atrophy in elderly leads to unintended racism, depression and problem gambling
5. Planning for 2020: increasing elderly population poses huge challenges in cancer care
6. NIH scientists describe ways to better assess benefits of influenza vaccine in the elderly
7. Survey reveals ignorance and confusion about cancer amongst the elderly
8. Colorectal cancer screening remains essential for elderly Americans
9. Evotec Reports Positive Top-Line Results in Phase II Study With EVT 201 in Elderly Insomniacs With Daytime Sleepiness
10. Elderly Medicare, Medicaid patients not receiving quality care
11. Most Elderly Dont Get Good Medical Care: Study
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
The Elderly Can Be Candidates for Angioplasty, Stenting 
(Date:12/8/2016)... ... December 08, 2016 , ... ... a Property owned by an affiliate of Seavest, has won a prestigious national ... Southern Chester County ambulatory care center (ACC) was named “Best New Development, MOBs ...
(Date:12/8/2016)... ... ... David J. Dykeman , Ginger Pigott , and J. ... DeviceTalks West, Dec. 12, 2016, at the Fairmont Newport Beach in California. Greenberg Traurig ... Life Sciences & Medical Technology Group have been featured speakers at every DeviceTalks conference ...
(Date:12/8/2016)... , ... December 08, 2016 , ... ... and development solutions for drugs, biologics and consumer health products, today announced that ... set up in 2006 as a non-profit organization to unite pharmaceutical and healthcare ...
(Date:12/8/2016)... ... 08, 2016 , ... Today’s patients are encouraged to be ... SIGVARIS has created a new line of anti-embolism stockings to help prevent a ... benefits of graduated compression when transitioning from recovery to early rehabilitation. , The ...
(Date:12/8/2016)... ... December 08, 2016 , ... The Dianne Michael ... headquartered in Hamilton County, is embarking on a charity drive with the aim ... new homes for orphaned or neglected senior dogs in the Cincinnati region, and ...
Breaking Medicine News(10 mins):
(Date:12/8/2016)... , 8 de dezembro de 2016  A Mederi Therapeutics Inc ... Stretta, um tratamento não cirúrgico para a doença do refluxo gastroesofágico (DRGE). ... ... Live Stretta procedure performed and broadcast ... Endoscopy at Wuhan Union Hospital ...
(Date:12/8/2016)... , Dec. 8, 2016  Pennsylvania Physician ... of Drug and Alcohol Programs Gary Tennis ... insomnia medications, known as benzodiazepines, developed with the ... "Benzodiazepines are medications that are frequently prescribed for ... they are used with opioid pain medications, benzodiazepines ...
(Date:12/8/2016)... 2016 True Health Diagnostics today announced ... services and management expertise to hospital systems throughout ... more doctors and patients to benefit from state-of-the-art ... Logo - http://photos.prnewswire.com/prnh/20161208/447162LOGO ... pressure to contain costs, have struggled to keep ...
Breaking Medicine Technology: