March 1, 2013Open Access
Percutaneous coronary intervention in nonagenarians: pros and cons.
Key result
PCI in nonagenarians yields acceptable outcomes but remains linked to high overall mortality risk.
- n=1,082
Why the study?
Few data of very limited quality adequately define the risk-benefit and cost-benefit profile of PCI in nonagenarians.
Does percutaneous coronary intervention provide acceptable short- and long-term results in nonagenarians?
Population
1082 nonagenarian patients from 18 studies
Design
Review of available evidence
Follow-up
Short- and long-term
Authors
Discussion
Loading...
Member takes
Implication
Requires careful selection in nonagenarians given high mortality; leaves open need for randomized data on optimal candidates.
Structured PICO
Does percutaneous coronary intervention provide acceptable short- and long-term results in nonagenarians?
P
Population
1,082 nonagenarians (≥90 years of age) across 18 studies undergoing percutaneous coronary intervention for coronary artery disease.
I
Intervention
Percutaneous coronary intervention (PCI)
O
Outcome
Short- and long-term results, mortality riskhard clinical
PCI is feasible in nonagenarians with acceptable outcomes, but the inherent high mortality risk in this age group requires careful weighing of pros and cons.
Limitations
- Few data of very limited quality are available
- Few data of very limited quality available
Cite This Study
Biondi‐Zoccai et al. (2013) conducted a review in Symptomatic or high-risk coronary artery disease (n=1,082). Percutaneous coronary intervention was evaluated. Percutaneous coronary intervention in nonagenarians is feasible with acceptable short- and long-term results, but is associated with a high mortality risk irrespective of the procedure.