Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
April 13, 2026Current Cardiology Reviews

Nationwide Trends in PCI Outcomes for Older Acute Coronary Syndrome Patients with a History of CABG

View Full Paper
Ask AI
Bookmark
Share

Why the study?

PCI techniques have evolved over the last decade, but data on recent trends among high-risk groups, particularly patients with prior CABG, remain limited.

Does percutaneous coronary intervention (PCI) over time (2016-2020) improve clinical outcomes in older ACS patients with a history of CABG?

Population

94,610 ACS patients aged 65 and older with prior CABG undergoing PCI

Comparison

Temporal trends from 2016 to 2020

Design

Retrospective database study of the National Inpatient Sample

Authors

SSSidhartha Gautam SenapatiTMTanisha MishraAGAnupama Gupta

Discussion

Loading...

Member takes

Overview

No mortality benefit seen with contemporary practices; leaves open net value of rising Impella use in older post-CABG ACS.

Key Points

  • This research aims to assess current trends in PCI outcomes among older ACS patients with a CABG history.
  • Analyzed data from the 2016-2020 National Inpatient Sample database
  • Focused on PCI outcomes for patients aged 65 and older with prior CABG
  • Measured outcomes included post-catheterization bleeding and respiratory failure
  • 94.6% of patients underwent non-elective PCI
  • Declining trends in post-catheterization bleeding from 1.5% in 2016 to 0.7% in 2020
  • Increased Impella usage from 1.2% in 2016 to 2.1% in 2020
  • No significant differences observed in all-cause mortality or other major complications

Structured PICO

Does percutaneous coronary intervention (PCI) over time (2016-2020) improve clinical outcomes in older ACS patients with a history of CABG?

P
Population
94,610 ACS patients aged 65 and older with a history of CABG undergoing PCI, median age 75, 74.5% male.
I
Intervention
Percutaneous coronary intervention (PCI) between 2016 and 2020
C
Comparator
Temporal comparison (2016 vs. 2020)
O
Outcome
Trends in PCI outcomes including post-catheterization bleeding, post-procedural respiratory failure, and Impella usagehard clinical

In older ACS patients with prior CABG undergoing PCI, bleeding complications have decreased and Impella use has increased from 2016 to 2020, though mortality remains unchanged.

Cite This Study

Senapati et al. (2026) studied this question.

synapsesocial.com/papers/69dc88d83afacbeac03ea97bhttps://doi.org/10.2174/011573403x417319251222084028
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1OR6-9 | Recent Trends in PCI Outcomes for Older Acute Coronary Syndrome Patients with a History of CABG: 2016-20202024
  2. 2Improved short and long term survival associated with percutaneous coronary intervention in the elderly patients with acute coronary syndrome2018 · 21 citations
  3. 3Choice of Myocardial Revascularization Strategy in Elderly Patients with Non-ST Elevation Acute Coronary Syndrome2025
  4. 4A-16 | Contemporary Temporal Trends and In-hospital Outcomes in Elderly Breast Cancer Survivor Women Hospitalized with Acute Myocardial Infarction Undergoing Percutaneous Coronary Intervention: Insight from the National Inpatient Sample (2016-2020)2024
  5. 5Temporal trends in the treatment and outcomes of elderly patients with acute coronary syndrome2016 · 114 citations