# Mechanical Circulatory Support in the Very Elderly Undergoing Complex High-Risk Indicated Procedures: A Case Report and Literature Review

**Authors:** Giuseppe Giacchi, Antonino Nicosia

PMC · DOI: 10.3390/jcdd13030145 · Journal of Cardiovascular Development and Disease · 2026-03-20

## TL;DR

A 95-year-old patient received a complex heart procedure with mechanical support, showing that elderly patients can benefit from advanced treatments.

## Contribution

This case report highlights the use of mechanical circulatory support in very elderly patients undergoing complex cardiac interventions.

## Key findings

- A 95-year-old patient successfully underwent complex percutaneous coronary intervention with mechanical circulatory support.
- The literature review discusses the use of mechanical circulatory support devices in older adults.
- The case suggests that elderly patients with active lifestyles can be appropriate candidates for high-risk procedures.

## Abstract

Interventional treatment of very elderly patients with severe coronary artery disease is currently one of the central topics in interventional cardiology. Technological progress and increased life expectancy have made these patients appropriate candidates for contemporary standards of care, especially those with an active lifestyle. We hereby report the case of a 95-year-old patient hospitalized for acute myocardial infarction, who underwent a complex percutaneous coronary intervention with mechanical circulatory support. A literature review on mechanical circulatory support devices in older adults is also provided.

## Linked entities

- **Diseases:** acute myocardial infarction (MONDO:0004781), coronary artery disease (MONDO:0005010)

## Full-text entities

- **Diseases:** multivessel disease (MESH:D004194), sarcopenia (MESH:D055948), delirium (MESH:D003693), cardiac death (MESH:D003643), falls (MESH:C537863), depressed (MESH:D003866), refractory angina (MESH:D000069279), injury to (MESH:D014947), impairs (MESH:D060825), resting angina (MESH:D000789), bleeding (MESH:D006470), chronic obstructive pulmonary disease (MESH:D029424), frailty (MESH:D000073496), coronary chronic total occlusions (MESH:D054059), Non (MESH:C580335), CHIP (MESH:D000073818), cardiac arrest (MESH:D006323), CAD (MESH:D003324), NSTEMI (MESH:D000072657), stenoses (MESH:D003251), LAD (MESH:D020759), and emotions (MESH:D003072), incontinence (MESH:D014549), cardiogenic shock (MESH:D012770), disability (MESH:D009069), shock (MESH:D012769), hyperlipidemia (MESH:D006949), AMI (MESH:D009203), dementia (MESH:D003704), angina (MESH:D000787), hypertrophic left ventricle (MESH:D020257), valvular heart disease (MESH:D006349), chronic kidney disease (MESH:D051436), geriatric syndromes (MESH:D013577), thrombosis (MESH:D013927), heart failure (MESH:D006333), calcium (MESH:D002128), calcifications (MESH:D002114), hypertension (MESH:D006973), stage IV (MESH:D062706)
- **Chemicals:** lactate (MESH:D019344), Bisoprolol (MESH:D017298), Atorvastatin (MESH:D000069059), calcium (MESH:D002118), MCS (-), Iodixanol (MESH:C044834), potassium (MESH:D011188), Amlodipine (MESH:D017311), Ezetimibe (MESH:D000069438), Acetylsalicylic Acid (MESH:D001241), Furosemide (MESH:D005665), Canrenone (MESH:D002192), Ticagrelor (MESH:D000077486), Doxazosin (MESH:D017292)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13026301/full.md

## References

17 references — full list in the complete paper: https://tomesphere.com/paper/PMC13026301/full.md

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Source: https://tomesphere.com/paper/PMC13026301