As China enters the aging society, the proportion of the elderly patients with coronary heart disease (CHD) is increasing gradually. The elderly CHD patients have more cardiovascular risk factors, and suffer greater risks of thrombosis and bleeding after percutaneous coronary intervention (PCI) than younger ones, which deserves more attention. In this paper, we reviewed the progress in PCI in the elderly CHD patients and made some suggestions for improving the treatment of PCI in these patients.