The aim of this observational study is to compare the prognostic outcomes of various PCI strategies in elderly patients with complex coronary calcified lesions. The patients will be classified into two groups and assigned different PCI strategies, either stenting or stenting combined with pharmacologic balloon implantation. The investigators will assess the one-year prognosis for major adverse cardiovascular events in these patients.
Age ≥ 60 years;
Meet the indications for coronary intervention;
IVUS examination suggests severe calcified lesions (calcification angle >270°) or OCT examination suggests severe calcified lesions (calcification angle >180° and/or length >5mm and/or thickness >0.5mm);
The diameter of the target lesion vessel is greater than 2.75mm;
inability to provide written informed consent;
inability to administer antiplatelet agents and anticoagulant therapy;
the subject is participating in other unfinished clinical trials;
life expectancy <1 year;
Elderly patients with calcified coronary artery disease
Cohort
Other
DES
Devicedrug eluting stent
DCB
Devicedrug-coated balloon
MACEs
A Composite Event Including Cardiac Death, Myocardial Infarction, Stroke, and Target Vessel Revascularization
Cardiac Death
Cardiac Death
Myocardial Infarction
Myocardial Infarction
Target Vessel Revascularization
Target Vessel Revascularization
Stroke
Stroke
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