Abstract
Increasing age of the human population led to a rising number of cardiac interventions in the elderly. Despite these trends and contrary to the well-known advantages of percutaneous coronary interventions (PCI) in elderly patients with acute coronary syndromes, there is a lack of evidence regarding the usefulness of elective PCI in elderly patients with stable coronary artery disease (CAD) as randomized controlled trials have enrolled very few patients of this age group. The indication to perform PCI may be different in older patients, in contrast to younger patients with higher levels of physical exercise. In summary, elective PCI can be performed with a high success and an acceptable complication rate in elderly and very elderly patients. Due to recent advancements in interventional techniques, success rates improved and complications were reduced especially in elderly patients. But the indication for PCI in very elderly patients still remains challenging, since it is mainly performed for pain relief and not for a higher life expectancy. It therefore competes with medical treatment, because physical activity is reduced in this patient group. Consequently a thorough evaluation of all risk factors, which could potentially harm the patient, is of great importance.
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Rittger, H. (2015). Coronary Interventions in Stable Coronary Artery Disease. In: Rittger, H. (eds) Interventional Cardiology in the Elderly. Springer, Cham. https://doi.org/10.1007/978-3-319-21142-8_5
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DOI: https://doi.org/10.1007/978-3-319-21142-8_5
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