Why complex and high risk percutaneous coronary interventions should be offered to selected octogenarians/nonagenarians. Issue 6 (29th November 2022)

• Record Type: Journal Article
• Authors: Allana, Salman S.; Brilakis, Emmanouil S.
• Is Part Of: Catheterization and cardiovascular interventions. Volume 100:Issue 6(2022)
• Page Start: 1143
• Page End: 1145
• Publication Date: 2022-11-29
• Subjects: Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.30474
• Languages: English
• ISSNs: 1522-1946

Abstract

Key Points: Between 2009 and 2017 23.4% of 424, 290 elective complex high‐risk percutaneous interventions (CHiP) were performed in patients aged ≥80 years. Octogenarians had the highest in hospital mortality, bleeding events and major adverse cardiovascular and cerebrovascular events. CHiP can and should be offered to ≥80‐year‐old patients when the potential benefits outweigh the risks. Careful procedural planning and meticulous execution are important for optimizing the outcomes of CHiP in ≥80‐year‐old patients.