Author + information
- Suraj Rasania,
- Usman Baber,
- George Dangas,
- Roxana Mehran,
- Srinivas Kesanakurthy,
- Nitin Barman,
- Joseph Sweeny,
- Choudhury Hasan,
- Annapoorna Kini and
- Samin Sharma
Background: There is paucity of outcome data in current literature for very elderly patients after percutaneous coronary intervention(PCI) despite the fact that amongst those above 75 years, more than one third of men and one quarter of women are living with CAD. Our study aims to assess outcomes data on this very elderly patient population and to compare different subsets of elderly patients undergoing PCI.
Methods: We obtained demographics, along with outcomes data in 7,142 patients >70 years of age who underwent PCI between 01/01/2009 and 12/31/2014. We evaluated their one year outcome according to their decade of life: 70–79 years: Septuagenarians[n=4841], 80–89 years: Octogenarians[n=2119] and 90+ years: Nonagenarians[n=182].
Results: We report in-hospital, 30-day and 1 year PCI outcomes in table attached. After adjusting for baseline comorbidities as well as ischemic history, increasing age was an independent predictor for higher cardiovascular events.
Conclusions: Age remains an important predictor of MACE after PCI even in the very elderly. Future studies to evaluate best treatment strategy to improve the last years of life in our very elderly population along with developing age-specific guidelines for treatment of CAD and performing PCI in these patients is warranted.
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: PCI for NSTEMI and Complex Patients With Multiple Co-Morbidities
Abstract Category: 19. Interventional Cardiology: Complex Patients/Comorbidities
Presentation Number: 1154-141
- 2017 American College of Cardiology Foundation