Percutaneous Coronary Intervention in Elderly Patients with Coronary Chronic Total Occlusions: Current Evidence and Future Perspectives

Lei Guo,1 Hai-Chen Lv,1 Rong-Chong Huang2 1Department of Cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, People’s Republic of China; 2Department of Cardiology, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, People’s Rep...

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Autores principales:	Guo L, Lv HC, Huang RC
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	coronary chronic total occlusions elderly percutaneous coronary intervention Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/38f9ea44282147b2852645f84a64906b
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spelling	oai:doaj.org-article:38f9ea44282147b2852645f84a64906b2021-12-02T10:15:16ZPercutaneous Coronary Intervention in Elderly Patients with Coronary Chronic Total Occlusions: Current Evidence and Future Perspectives1178-1998https://doaj.org/article/38f9ea44282147b2852645f84a64906b2020-05-01T00:00:00Zhttps://www.dovepress.com/percutaneous-coronary-intervention-in-elderly-patients-with-coronary-c-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Lei Guo,1 Hai-Chen Lv,1 Rong-Chong Huang2 1Department of Cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, People’s Republic of China; 2Department of Cardiology, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, People’s Republic of ChinaCorrespondence: Lei Guo Email leiguo@dmu.edu.cnAbstract: The proportion of the elderly in the total population of the world is growing, and the number of elderly patients with coronary chronic total occlusions (CTO) is huge. The elderly patients often have more extensive coronary artery disease, more severe ischemic burden and higher risk of cardiovascular events, as compared to younger patients, and thereby they might greatly benefit from coronary revascularization, even though they may have higher risk of operative complications. Most interventional cardiologists are more likely to be reluctant to operate complex percutaneous coronary intervention (PCI) in elderly patients. The latest refinements in dedicated CTO-PCI equipment and techniques have led to high rates of success and low complications rates and have made the CTO-PCI procedures safe and effective among the elderly patients. However, up to now, there is no widely recognized consensus or guideline on treatment strategy of elderly CTO patients, and the prognosis in this population is unknown. In this review, we aim to provide an overview of the current evidence and future perspectives on PCI in elderly patients with CTOs.Keywords: coronary chronic total occlusions, elderly, percutaneous coronary interventionGuo LLv HCHuang RCDove Medical Pressarticlecoronary chronic total occlusionselderlypercutaneous coronary interventionGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 771-781 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	coronary chronic total occlusions elderly percutaneous coronary intervention Geriatrics RC952-954.6
spellingShingle	coronary chronic total occlusions elderly percutaneous coronary intervention Geriatrics RC952-954.6 Guo L Lv HC Huang RC Percutaneous Coronary Intervention in Elderly Patients with Coronary Chronic Total Occlusions: Current Evidence and Future Perspectives
description	Lei Guo,1 Hai-Chen Lv,1 Rong-Chong Huang2 1Department of Cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, People’s Republic of China; 2Department of Cardiology, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, People’s Republic of ChinaCorrespondence: Lei Guo Email leiguo@dmu.edu.cnAbstract: The proportion of the elderly in the total population of the world is growing, and the number of elderly patients with coronary chronic total occlusions (CTO) is huge. The elderly patients often have more extensive coronary artery disease, more severe ischemic burden and higher risk of cardiovascular events, as compared to younger patients, and thereby they might greatly benefit from coronary revascularization, even though they may have higher risk of operative complications. Most interventional cardiologists are more likely to be reluctant to operate complex percutaneous coronary intervention (PCI) in elderly patients. The latest refinements in dedicated CTO-PCI equipment and techniques have led to high rates of success and low complications rates and have made the CTO-PCI procedures safe and effective among the elderly patients. However, up to now, there is no widely recognized consensus or guideline on treatment strategy of elderly CTO patients, and the prognosis in this population is unknown. In this review, we aim to provide an overview of the current evidence and future perspectives on PCI in elderly patients with CTOs.Keywords: coronary chronic total occlusions, elderly, percutaneous coronary intervention
format	article
author	Guo L Lv HC Huang RC
author_facet	Guo L Lv HC Huang RC
author_sort	Guo L
title	Percutaneous Coronary Intervention in Elderly Patients with Coronary Chronic Total Occlusions: Current Evidence and Future Perspectives
title_short	Percutaneous Coronary Intervention in Elderly Patients with Coronary Chronic Total Occlusions: Current Evidence and Future Perspectives
title_full	Percutaneous Coronary Intervention in Elderly Patients with Coronary Chronic Total Occlusions: Current Evidence and Future Perspectives
title_fullStr	Percutaneous Coronary Intervention in Elderly Patients with Coronary Chronic Total Occlusions: Current Evidence and Future Perspectives
title_full_unstemmed	Percutaneous Coronary Intervention in Elderly Patients with Coronary Chronic Total Occlusions: Current Evidence and Future Perspectives
title_sort	percutaneous coronary intervention in elderly patients with coronary chronic total occlusions: current evidence and future perspectives
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/38f9ea44282147b2852645f84a64906b
work_keys_str_mv	AT guol percutaneouscoronaryinterventioninelderlypatientswithcoronarychronictotalocclusionscurrentevidenceandfutureperspectives AT lvhc percutaneouscoronaryinterventioninelderlypatientswithcoronarychronictotalocclusionscurrentevidenceandfutureperspectives AT huangrc percutaneouscoronaryinterventioninelderlypatientswithcoronarychronictotalocclusionscurrentevidenceandfutureperspectives
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Percutaneous Coronary Intervention in Elderly Patients with Coronary Chronic Total Occlusions: Current Evidence and Future Perspectives

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