Evaluation of long stent implantation in diffuse coronary lesions in current intervention era

While the elderly represent one of the highest-risk patient subsets among the growing population of patients undergoing percutaneous coronary intervention ( PCI), elderly patients are often under-treated with revasculariza-tion therapies. Doubts regarding a lack of durable benefit of PCI in elderly patients often lead physicians to pursue conservative management strategies, despite the potential to derive greater absolute and relative benefits through re-vascularization. The reluctance to revascularize elderly patients is partly related to the greater risk of immediate complications, greater lesion complexity, and a higher prevalence of diffuse and multivessel disease-all factors that render the performance of PCI more difficult.