Unprotected Left Main Percutaneous Coronary Intervention in a 108-Year-Old Patient
Korean Circulation Journal
;
: 113-117, 2014.
Article
in English
| WPRIM
| ID: wpr-15683
ABSTRACT
With the increase in life expectancy, the proportion of very elderly people is increasing. Coronary artery disease (CAD) is an important cause of mortality and morbidity in this age group, for which myocardial revascularization is often indicated. Percutaneous coronary intervention (PCI) in the very elderly bears the inherent risks of complications and mortality, but the potential benefits may outweigh these risks. A number of observational studies, registries, and few randomized controlled trials have shown the safety and feasibility of PCI in octogenarians and nonagenarians. However, PCI is only rarely done in centenarians; so, the outcome of percutaneous coronary revascularization in this age group is largely unknown. PCI in a centenarian with complex CAD is described here; the patient presented with unstable angina despite optimum medical therapy, and surgery was declined. Good angiographic success was followed by non-cardiac complications, which were managed with a multidisciplinary approach.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Coronary Artery Disease
/
Registries
/
Life Expectancy
/
Mortality
/
Percutaneous Coronary Intervention
/
Angina, Unstable
/
Myocardial Revascularization
Type of study:
Controlled clinical trial
/
Observational study
/
Prognostic study
Limits:
Aged
/
Aged80
/
Humans
Language:
English
Journal:
Korean Circulation Journal
Year:
2014
Type:
Article
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