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Influence of Age on the Outcomes of Percutaneous and Surgical Treatment of Multivessel Coronary Artery Disease Patients

Results from the Multicentre Randomized Arterial Revascularization Therapy Study

V. Legrand1 MD, PhD, FESC,
P. Serruys
2 MD, PhD, FACC, FESC,
WK Lindeboom
3 PhD,
M. Vrolix
4 MD,
G. Fransen
4 MD,
P. Materne
5 MD,
G. Dekoster
5 MD,
R. Seabra-Gomes
6 MD,FESC,
J. Queiroz E Melo
6 MD

1CHU Liege Belgium.
2Thoraxcenter, Rotterdam, The Netherlands.
3Cardialysis, Rotterdam, The Netherlands.
4St Jansziekenhuis, Genk, Belgium.
5CHR Citadelle, Liege, Belgium.
6Hosp Santa Cruz, Carnaxide, Portugal.

Key words : coronary angioplasty, stent, coronary bypass surgery, elderly.

Introduction
As the population ages, an increasing number of elderly patients are presenting with symptomatic multivessel coronary artery disease requiring revascularization. However, the most appropriate myocardial revascularization procedure for older patients with multivessel disease is still controversial. Indeed, it is well recognized that the procedure-related morbidity associated with either percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) increases dramatically with age.