Safety of percutenous coronary intervetion and risk of death in ≥85 years old patients
10.3969/j.issn.1009-0126.2018.03.009
- VernacularTitle:85岁以上经皮冠状动脉介入治疗患者安全性及死亡风险评估
- Author:
Zhichao WANG
1
;
Zhengming XU
;
Jing YAO
;
Yu CHEN
;
Yigang QIU
;
Yi CAO
;
Tianchang LI
Author Information
1. 海军总医院心内科
- Keywords:
glomerular filtration rate;
coronary disease;
radial artery;
contrast media;
hemorrhage;
forecasting
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2018;20(3):257-259
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the safety of PCI and risk of death in ≥85 years old patients.Methods Ninety ≥85 years old coronary heart disease patients after PCI were included in this study.The risk of death on day 30 after PCI and during the follow-up period was assessed according to their surgical access,preoperative and postoperative estimated glomerular filtration rate (eGFR) and bleeding events,NCDR risk score of CHD.The patients were followed up for 693±510 days.Results Eighty-four patients (93.3％) underwent PCI via the radial artery.The dose of contrast media was 128.3±55.8 ml.No significant difference was found in preoperative and postoperative eGFR (55.53 ± 19.58 ml/min · 1.73 m2 vs 55.40± 18.84 ml/min · 1.73 m2,t =0.095,P=0.925).Bleeding occurred in 4 patients (4.4％) with no life-threatening massive bleeding occurred.The risk of death increased in patients with their NCDR risk score ＞45 on day 30 after PCI (P=0.013).Conclusion PCI is a safe and feasible procedure and NCDR risk score can predict the risk of death in ≥85 years old patients on day 30 after PCI.
