Target Vessel Revascularization in Older Patients Undergoing PCI
Target Vessel Revascularization in Older Patients Undergoing PCI
Risk-benefit assessment of DES is especially important in the growing older patient population in whom more PCIs are currently being performed and who are at risk for bleeding. Using a large, contemporary national database, we found a low rate of TVR among patients ≥65 years old, suggesting that native-vessel TVR among older patients is uncommon in contemporary practice. We also developed and validated models to predict TVR based on clinical and procedural variables. Based on our model, we can identify a subgroup of patients who are at higher risk for restenosis. These models can inform patient and provider decision making when considering DES versus BMS implantation among older individuals.
Conclusions
Risk-benefit assessment of DES is especially important in the growing older patient population in whom more PCIs are currently being performed and who are at risk for bleeding. Using a large, contemporary national database, we found a low rate of TVR among patients ≥65 years old, suggesting that native-vessel TVR among older patients is uncommon in contemporary practice. We also developed and validated models to predict TVR based on clinical and procedural variables. Based on our model, we can identify a subgroup of patients who are at higher risk for restenosis. These models can inform patient and provider decision making when considering DES versus BMS implantation among older individuals.
