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PCI in Nonagenarians Rising as Focus Shifts to Frailty Over Age

from TCTMD

In-hospital mortality, major bleeding, and vascular complications have all changed over time among patients in their 90s undergoing percutaneous coronary intervention (PCI), according to new data, lending support to the view that frailty — not age — should take precedence in evaluating patients for revascularization. "This study provides a benchmark for the rate of in-hospital complications associated with PCI in nonagenarians presenting with acute coronary syndrome and stable ischemic heart disease," write the study authors, led by Kashish Goel, MD. “Over the past decade, it has become clear that frailty — a complex interplay of biological, cognitive and social factors — is closely associated with adverse periprocedural outcomes in older adults,” they write. “Despite this, until recently, systemic assessments of frailty have been more routinely used before cardiac surgery or transcatheter aortic valve replacement than PCI. This may rapidly change with the upcoming iteration of the American College of Cardiology/Society for Cardiovascular Angiography and Interventions CathPCI registry, which includes a standardized assessment of frailty.” more

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