Background

As the population ages and life expectancy increases, there is increasing demand for percutaneous coronary intervention (PCI) in patients >80 years old. PCI in this group is adversely influenced by the presence of multiple comorbidities, reduced physiological adaption to stress and complex coronary anatomy. As such, the outcomes, both periprocedural and longer term, are less predictable than in younger patients. We report the experience with consecutive interventions in patients >80 years old over a 4-year period at Waikato Hospital New Zealand with respect to survival and major adverse cardiac and cerebrovascular events (MACCE) outcomes.

Methods

A total of 164 consecutive PCIs in 154 patients were performed from May 2006 to June 2010 in patients over 80 years. All patients who had successful or unsuccessful procedure were included in the retrospective analysis. Patients had no known immediate noncardiac life-threatening disease.

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