OBJECTIVES: The aim of this study was to describe the clinical characteristics and the outcomes of patients 90 years of age or older who were treated with percutaneous coronary intervention (PCI). BACKGROUND: There is a paucity of outcomes data among nonagenarians undergoing PCI. METHODS: We evaluated the outcomes of all patients 90 years of age or older in the Mayo Clinic PCI registry and examined trends over time. RESULTS: Over a period of 19 years, we identified 138 nonagenarians (66% women; age 92.2 +/- 2.0 years). Mean duration of hospitalization was 3.7 +/- 3.1 days, and the median follow-up duration was 3.6 years. Ninety-one percent of patients presented with an acute coronary syndrome and underwent urgent or emergent revascularization. Technical success rate was 91%. Overall, the frequency of in-hospital death, Q-wave myocardial infarction, and major adverse cardiac events (composite of death, Q-wave myocardial infarction, urgent or emergent coronary artery bypass grafting, and cerebrovascular accident) were 9.4%, 0.7%, and 12.3%, respectively. The long-term survival of the cohort was not significantly different than that of an age, gender, and calendar year of birth-matched Minnesota cohort. The cohort was divided into 2 groups according to the time of their intervention: pre-2000 (n = 32) and 2000 to 2006 (n = 106). The in-hospital mortality decreased markedly: 22% to 6% (p = 0.006), respectively. CONCLUSIONS: Our study demonstrates that, in carefully selected patients, PCI in contemporary practice may be performed with high technical success with relatively low mortality and morbidity. Thus, advanced age alone must not be considered a contraindication to performing coronary angiography and PCI when clear indications are present.
OBJECTIVES: The aim of this study was to describe the clinical characteristics and the outcomes of patients 90 years of age or older who were treated with percutaneous coronary intervention (PCI). BACKGROUND: There is a paucity of outcomes data among nonagenarians undergoing PCI. METHODS: We evaluated the outcomes of all patients 90 years of age or older in the Mayo Clinic PCI registry and examined trends over time. RESULTS: Over a period of 19 years, we identified 138 nonagenarians (66% women; age 92.2 +/- 2.0 years). Mean duration of hospitalization was 3.7 +/- 3.1 days, and the median follow-up duration was 3.6 years. Ninety-one percent of patients presented with an acute coronary syndrome and underwent urgent or emergent revascularization. Technical success rate was 91%. Overall, the frequency of in-hospital death, Q-wave myocardial infarction, and major adverse cardiac events (composite of death, Q-wave myocardial infarction, urgent or emergent coronary artery bypass grafting, and cerebrovascular accident) were 9.4%, 0.7%, and 12.3%, respectively. The long-term survival of the cohort was not significantly different than that of an age, gender, and calendar year of birth-matched Minnesota cohort. The cohort was divided into 2 groups according to the time of their intervention: pre-2000 (n = 32) and 2000 to 2006 (n = 106). The in-hospital mortality decreased markedly: 22% to 6% (p = 0.006), respectively. CONCLUSIONS: Our study demonstrates that, in carefully selected patients, PCI in contemporary practice may be performed with high technical success with relatively low mortality and morbidity. Thus, advanced age alone must not be considered a contraindication to performing coronary angiography and PCI when clear indications are present.
Authors: Ki Hong Lee; Myung Ho Jeong; Cho Yun Chung; Donghan Kim; Min Goo Lee; Keun-Ho Park; Doo Sun Sim; Nam Sik Yoon; Hyun Ju Yoon; Kye Hun Kim; Young Joon Hong; Ju Han Kim; Youngkeun Ahn; Jeong Gwan Cho; Jong Chun Park; Jung Chaee Kang Journal: Korean Circ J Date: 2012-05-24 Impact factor: 3.243
Authors: Ki Hong Lee; Youngkeun Ahn; Sung Soo Kim; Si Hyun Rhew; Young Wook Jeong; Soo Young Jang; Jae Yeong Cho; Hae Chang Jeong; Keun-Ho Park; Nam Sik Yoon; Doo Sun Sim; Hyun Joo Yoon; Kye Hun Kim; Young Joon Hong; Hyung Wook Park; Ju Han Kim; Jeong Gwan Cho; Jong Chun Park; Myung Ho Jeong; Myeong-Chan Cho; Chong Jin Kim; Young Jo Kim Journal: J Korean Med Sci Date: 2014-04-01 Impact factor: 2.153