Abstract
Aims: Best popular perception that coronary artery bypass grefting in octogenarians carries high risk related primarily to advanced age. Nevertheless, the effects of CABG, percutaneous coronary intervention , and medical treatment were not assessed on life adequately.
 Material and Methods: In the present study, survival duration of 375 octogenarian patients who underwent coronary angiography (CAG) in our clinic was evaluated retrospectively. 
 Results: Patients were assigned and compare to seven groups as follows: group 1, patients with normal CAG results; group 2, patients with diffuse coronary narrowness who received medical treatment, group 3, patients who underwent PCI, group 4 was the subgroup of patients from group 3 who underwent PCI in the left anterior descending artery only or in combination with their coronary arteries; group 5, patients in critical condition who were unavailable for any intervention because of cardiac function, group 6, patients who underwent CABG; and group 7, patients who declined the recommended CABG and PCI. For each group, the first-year survival rates were respectively: 100%, 95%, 91.2%, 91.8%, 76.1%, 93.0%, 90.82%. After 6 years, the survival rates were respectively: 76.1%, 80.0%, 72.5%, 71.42%, 52.3%, 90.2%, 76.14%. Rates of patients living by years a significant correlation was revealed between group 6 and group 2 and group 3 (p=0.001, p = 0.004). Group 3 was found to have a significant correlation with Group 4 and Group 7 (p=.000). Group 7 was significantly correlated with groups 3 (p = 0.000), 4 (p = 0.000), and 2 (p = 0.007).
 Conclusion: Especially in octogenarians who had shortness of the expected survival, the surgical advantage of visual anastomotic replacement, and complete vascularization were successed more than PCI.
Highlights
Many studies have demonstrated that 25% of individuals aged above 80 years’ experience severe complications owing to cardiovascular disease.[1]
Based on the records of the coronary angiography findings (CAG), were assigned to seven groups as follows: group 1, patients with normal CAG results (n=42); group 2, patients with coronary narrowness who received medical treatment for lesions
The death reasons and survival rates of the patients between years obtained from the clinical results were evaluated in Column of Table 1
Summary
Many studies have demonstrated that 25% of individuals aged above 80 years’ experience severe complications owing to cardiovascular disease.[1]. Octogenarians in the United States was calculated to be an 8.1 years.[3,4] The shortness of the expected survival and estimates for the best treatment options are uncertain for those Octogenarians who experience coronary heart disease. Studies performed in advanced-aged patient groups have generally excluded those who were clinically uncontrolled regardless of the surgical decision, and no evaluation was conducted on their survival duration; data were obtained only from treated patient groups.[3,4,5,6] The objective of the present retrospective single center study was to evaluate the treatment results with respect to short- (1- year) and long- term (6-year) survival rates in octogenarians who were administered available treatment options for suspected coronary artery disease
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