• Patients with extensive, high-risk coronary artery disease (CAD) deemed surgically ineligible who undergo elective percutaneous coronary intervention (PCI) have better than predicted surgical 30-day outcomes.
• Risk factors predicting 1-year PCI outcomes include frailty and STS score.
• Future trials are needed to best assess acceptable risk profiles for PCI in surgical turndowns as well as the impact of procedural characteristics such as completeness of revascularization, hemodynamic support, and image-guided stenting on late outcomes.

中文翻译：

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手术拒绝不是没有选择的患者

• 被认为不适合手术的广泛性、高危冠状动脉疾病 (CAD) 患者接受择期经皮冠状动脉介入治疗 (PCI) 的手术 30 天结果优于预期。
• 预测 1 年 PCI 结果的风险因素包括虚弱和 STS 评分。
• 需要未来的试验来最好地评估在手术拒绝时 PCI 可接受的风险概况以及程序特征的影响，如血运重建的完整性、血流动力学支持和图像引导支架植入术对晚期结果的影响。