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Revista Colombiana de Cardiología
Print version ISSN 0120-5633
Abstract
SANCHEZ-VELASQUEZ, Alejandro et al. Interventionist management of acute coronary syndrome in octogenarians: observational record. Rev. Colomb. Cardiol. [online]. 2023, vol.30, n.3, pp.145-149. Epub July 03, 2023. ISSN 0120-5633. https://doi.org/10.24875/rccar.21000133.
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.
Keywords : Percutaneous coronary intervention; Endovascular procedures; Interventional cardiology; Aged 80 and over.