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Superior outcomes of DES compared with BMS in very elderly population


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Conference
ACC 2019
Drug-eluting stents (DES) in the general population are preferred over bare-metal stents (BMS); they even play a role in treatment of the (very) elderly. Recent results indicate superior outcomes of DES in in patients in their eighties and nineties. Mishra et al. presented results of a retrospective observational analysis of claims data. The authors aimed to compare outcomes between the two types of stent in this very elderly population, using an American nationwide readmission database (2010-2014) to identify patients aged 80 years who had percutaneous coronary intervention (PCI) using DES or BMS based on international classification of disease codes (9th revision [ICD:9-CM]) [1]. Primary endpoints were 30-day readmission, in-hospital mortality, post-procedure complications, and cost of care. A total of 297,378 qualifying subjects were identified (30.7% BMS; 69.3% DES). Significantly less utilisation of DES was observed in nonagenarians vs octogenarians ...


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