Key result
Emergency combined percutaneous intervention for coronary and peripheral arteries in an 89-year-old man with acute ischemia and unstable angina resulted in a favorable short-to-midterm outcome.
Why the study?
Does emergency combined coronary and peripheral percutaneous intervention improve outcomes in very old patients with acute lower extremity ischemia and unstable angina?
Case Report (n=1)
Does emergency combined coronary and peripheral percutaneous intervention improve outcomes in very old patients with acute lower extremity ischemia and unstable angina?
Combined emergency coronary and peripheral percutaneous intervention can yield favorable short-to-midterm outcomes in very elderly patients, highlighting the need for dedicated guidelines in this growing demographic.
May support feasibility in select very elderly patients; leaves open need for prospective trials and guidelines.
Acute lower extremities peripheral artery disease represents a clinical emergency. Peripheral artery disease incidence ranges from 2.5 to 22% and has progressively increased due to the world population aging phenomenon and associates with coronary artery disease with a rate of 40-60%. The authors present the case of an 89-year-old man coming to their attention with acute lower extremities ischemia and unstable angina. Despite the short-to-midterm favorable outcome, doubts remain about the opportunity of treating 'very old' patients. The lack of dedicated randomized trials and of defined guidelines is a problem the scientific community needs to face considering that patients over 85 years represent a raising quote of the whole population of our catheterization laboratories.
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Pepe et al. (2015) conducted a case report in Acute lower extremities ischemia and unstable angina (n=1). Emergency coronary and peripheral arteries combined percutaneous intervention was evaluated on Clinical outcome. Emergency combined percutaneous intervention for coronary and peripheral arteries in an 89-year-old man with acute ischemia and unstable angina resulted in a favorable short-to-midterm outcome.
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