Introduction:

In the last two decades, advances in the percutaneous treatment of acute coronary syndrome have led to a reduction on its mortality, positioning percutaneous coronary intervention as the treatment of choice. The percutaneous coronary intervention is a challenging procedure due to its higher risk of related complications and the prevalence of multiple comorbidities.

Objective:

To evaluate the baseline profile and clinical outcomes over 6 months of follow-up post-percutaneous coronary intervention in patients older than 85 years-old submitted in the last three years to in-hospital coronary revascularization.

Materials and method:

This is an “all-comers” registry including patients ≥ 85 years-old treated with PCI in the last three years due to acute coronary syndrome.

Results:

We included 20 patients with a mean age of 90.3 years; of them, 55% female. The main comorbidities were: arterial hypertension (80%) and hyperlipidemia (58%). At the time of the intervention, 40% of the patients were diagnosed with ST-elevation coronary syndrome. Transradial percutaneous coronary intervention was performed on 70%, with successful target vessel revascularization in 90% of patients. There were 4 non-complicated vascular access-related bruises. Mortality was 0% over 6-months of follow-up.

Conclusion:

Percutaneous coronary intervention is a feasible and effective procedure with low rates of complications in patients over 85 years of age with diagnosis of acute coronary syndrome.

        · resumen en Español     · texto en Español     · Español ( pdf )