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Age is not a bar to PCI: Insights from the long‐term outcomes from off‐site PCI in a real‐world setting

Age is not a bar to PCI: Insights from the long‐term outcomes from off‐site PCI in a real‐world... AbbreviationsACSacute coronary syndromeARCAcademic Research ConsortiumBMSbare metal stentCABGcoronary artery bypass graft(ing)CADcoronary artery diseaseCVAcerebrovascular accidentDAPTdual anti‐platelet therapyDESdrug‐eluting stentEld.elderly patients (age 75‐80 years)HRhazard ratioLADleft anterior descending arteryMACCEmajor adverse cardiac and cerebrovascular eventMImyocardial infarctionNSTEMInon‐ST‐elevation myocardial infarctionORodds ratioPCIpercutaneous coronary interventionPPCIprimary percutaneous coronary interventionSTstent thrombosisSTEMIST elevation myocardial infarctionTLFtarget lesion failureTLRtarget lesion revascularizationTVRtarget vessel revascularizationV. Eldvery elderly patients (age ≥80 years)INTRODUCTIONThe elderly now comprise the fastest growing cohort of the population in the western world. Over the last 25 years, those over the age of 65 living in the United Kingdom have increased by 20%, while those aged 85 and over have more than doubled and is expected to account for 5% of the total population by 2035. An aging population brings numerous challenges, both to society and healthcare professionals alike. Elderly patients present with multiple comorbidities and complex social needs often requiring longer in‐patient hospital stay and increasing health expenditure.Limited data exist on the long‐term outcomes following coronary intervention in the elderly. Patients often present with advanced complex coronary disease, significant coronary calcification, tortuous vascular anatomy, and multiple comorbidities. Additionally, data are lacking on the peri‐procedural and long‐term outcomes with under‐representation of the very elderly (V. Eld., >80 years) cohort in randomized controlled trials.Percutaneous coronary http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Interventional Cardiology Wiley

Age is not a bar to PCI: Insights from the long‐term outcomes from off‐site PCI in a real‐world setting

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References (40)

Publisher
Wiley
Copyright
© 2017 Wiley Periodicals, Inc.
ISSN
0896-4327
eISSN
1540-8183
DOI
10.1111/joic.12400
pmid
28670721
Publisher site
See Article on Publisher Site

Abstract

AbbreviationsACSacute coronary syndromeARCAcademic Research ConsortiumBMSbare metal stentCABGcoronary artery bypass graft(ing)CADcoronary artery diseaseCVAcerebrovascular accidentDAPTdual anti‐platelet therapyDESdrug‐eluting stentEld.elderly patients (age 75‐80 years)HRhazard ratioLADleft anterior descending arteryMACCEmajor adverse cardiac and cerebrovascular eventMImyocardial infarctionNSTEMInon‐ST‐elevation myocardial infarctionORodds ratioPCIpercutaneous coronary interventionPPCIprimary percutaneous coronary interventionSTstent thrombosisSTEMIST elevation myocardial infarctionTLFtarget lesion failureTLRtarget lesion revascularizationTVRtarget vessel revascularizationV. Eldvery elderly patients (age ≥80 years)INTRODUCTIONThe elderly now comprise the fastest growing cohort of the population in the western world. Over the last 25 years, those over the age of 65 living in the United Kingdom have increased by 20%, while those aged 85 and over have more than doubled and is expected to account for 5% of the total population by 2035. An aging population brings numerous challenges, both to society and healthcare professionals alike. Elderly patients present with multiple comorbidities and complex social needs often requiring longer in‐patient hospital stay and increasing health expenditure.Limited data exist on the long‐term outcomes following coronary intervention in the elderly. Patients often present with advanced complex coronary disease, significant coronary calcification, tortuous vascular anatomy, and multiple comorbidities. Additionally, data are lacking on the peri‐procedural and long‐term outcomes with under‐representation of the very elderly (V. Eld., >80 years) cohort in randomized controlled trials.Percutaneous coronary

Journal

Journal of Interventional Cardiology – Wiley

Published: Aug 1, 2017

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