Primary coronary angioplasty in a nonagenarian

Baracioli, Luciano Moreira; Serrano, Carlos; Esteves, Antonio; Ciporkin, Jean Pierre; Nicolau, José Carlos

doi:10.1590/s0066-782x2002000100011

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…Even though primary PCI has been established as the standard of care, a conservative strategy is often adopted when facing this situation in nonagenarians 15 16. The first case report of primary PCI in a nonagenarian was published in 2002 17. Few studies based on cohorts have suggested feasibility for invasive management of STEMI in nonagenarians 18–21.…”

Section: Introductionmentioning

confidence: 99%

Primary percutaneous coronary intervention for ST elevation myocardial infarction in nonagenarians

Petroni

Zaman

Hammoudi

et al. 2016

Heart

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ObjectiveTo assess outcomes following primary percutaneous coronary intervention (PCI) for ST-segment elevation acute myocardial infarction (STEMI) in nonagenarian patients.MethodsWe conducted a multicentre retrospective study between 2006 and 2013 in five international high-volume centres and included consecutive all-comer nonagenarians treated with primary PCI for STEMI. There were no exclusion criteria. We enrolled 145 patients and collected demographic, clinical and procedural data. Severe clinical events and mortality at 6 months and 1 year were assessed.ResultsCardiogenic shock was present at admission in 21%. Median (IQR) delay between symptom onset and balloon was 3.7 (2.4–5.6) hours and 60% of procedures were performed through the transradial approach. Successful revascularisation of the culprit vessel was obtained in 86% of the cases (thrombolysis in myocardial infarction flow of 2 or 3). Major or clinically relevant bleeding was observed in 4% of patients. Median left ventricular ejection fraction post PCI was 41.5% (32.0–50.0). The in-hospital mortality was 24%, with 6 months and 1-year survival rates of 61% and 53%, respectively.ConclusionsIn our study, primary PCI in nonagenarians with STEMI was achieved and feasible through a transradial approach. It is associated with a high rate of reperfusion of the infarct-related artery and 53% survival at 1 year. These results suggest that primary PCI may be offered in selected nonagenarians with acute myocardial infarction.

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Section: Introductionmentioning

confidence: 99%

Primary percutaneous coronary intervention for ST elevation myocardial infarction in nonagenarians

Petroni

Zaman

Hammoudi

et al. 2016

Heart

View full text Add to dashboard Cite

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Primary PCI in a nonagenarian: an uncommon predicament

et al. 2020

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Myocardial infarction in a nonagenarian is a morbid cardiac illness that can lead to significant mortality unless properly dealt with management aspects. Many comorbid or family-related issues might be part of holdbacks in management of such a group of patients. Hence, myocardial infarction in a nonagenarian where intervention is better treatment option forms an uncommon combination and has many preprocedural, periprocedural and postprocedural difficulties related to multiple issues. Here, we present a case of nonagenarian who presented with extensive anterior wall MI and was successfully dealt with primary percutaneous coronary intervention despite periprocedural and intraprocedural difficulties.

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Primary coronary angioplasty in a nonagenarian

Cited by 2 publications

References 9 publications

Primary percutaneous coronary intervention for ST elevation myocardial infarction in nonagenarians

Primary percutaneous coronary intervention for ST elevation myocardial infarction in nonagenarians

Primary PCI in a nonagenarian: an uncommon predicament

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