Low-risk percutaneous coronary interventions without on-site cardiac surgery: Two years' observational experience and follow-up

2003 ◽  
Vol 145 (2) ◽  
pp. 278-284 ◽  
Author(s):  
Henry H. Ting ◽  
Kirk N. Garratt ◽  
Mandeep Singh ◽  
Michael A. Kjelsberg ◽  
Farris K. Timimi ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Low Risk ◽  
Percutaneous Coronary Interventions ◽  
Coronary Interventions ◽  
Percutaneous Coronary

Primary Percutaneous Coronary Interventions Without On-site Cardiac Surgery: Two Years’ Observational Experience and Follow-up

2008 ◽  
Vol 17 ◽  
pp. S164
Author(s):  
Akshay Mishra ◽  
Ravinder Batra ◽  
Rohan Jayasinghe ◽  
Sharmalar Rajendran ◽  
Naylin Bissesor ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Percutaneous Coronary Interventions ◽  
Coronary Interventions ◽  
Percutaneous Coronary

scholarly journals Percutaneous Coronary Interventions in Nonagenarians: In-Hospital Mortality and Outcome at One Year Follow-up

2009 ◽  
Vol 32 (12) ◽  
pp. E16-E21 ◽  
Author(s):  
Rupen Parikh ◽  
Srinivas Chennareddy ◽  
Vincent DeBari ◽  
Aiman Hamdan ◽  
Donna Konlian ◽  
...  
Keyword(s):  
Hospital Mortality ◽  
Percutaneous Coronary Interventions ◽  
Coronary Interventions ◽  
Percutaneous Coronary ◽  
One Year

scholarly journals Elective Percutaneous Coronary Interventions (PCI) in 100 Cases in a Centre Without On-site Cardiac Surgery Support

2013 ◽  
Vol 24 (1) ◽  
pp. 8-11
Author(s):  
Md Nurul Afsar Badrul ◽  
Kamal Ahmed ◽  
Sufia Rahman
Keyword(s):  
Success Rate ◽  
Clinical Success ◽  
Clinical Success Rate ◽  
Hospital Death ◽  
Percutaneous Coronary Interventions ◽  
Vessel Disease ◽  
Coronary Interventions ◽  
Percutaneous Coronary ◽  
The Mean

Since its introduction in 1977, Percutaneous Coronary  Interventions (PCI) is an important tool in the treatment of  coronary artery disease (CAD). It is a retrospective analysis  of data of 100 cases (132 vessels). The mean age was 50.9  years (range 30-70) with 90 (90%) male and 10 (10%) female.  Indication of PCI includes acute and old MI, Chronic stable  angina and unstable angina were 48 (48%), 33 (33%) and  19(19%) respectively. Procedure done in total 132 vessels  among 100 patients. most of the cases were single vessels  disease (SVD) {68 (68%} followed by double vessel disease  (DVD) {30(30%)} , triple vessel disease (TVD) {02 (02%)}  and chronic total occlusion (CTO) {02 (02%)}.Cobalt  chromium was commonly used stent (117 (88.6%) followed by  drug illuting stent (DES) 12 (9.1%) and bare metal stent  (BMS) 3 (2.3%). Among the site of the stent insertion left  anterior descending (LAD) 62 (47%), right coronary lesion  (RCA) 37 (28), left circumplex artery (LCX) 33  (25%).Maximum stent length was 35 mm, minimum 10mm.  Maximum stent diameter was 3.5 mm whereas minimum  diameter 2.5 mm. The mean pretreatment reference diameter  was 2.55 ± 0.20 mm and post treatment diameter 2.70 ± 0.45  mm. Angiographic, procedural and clinical success rate were  100%, 98% and 98% respectively. Major adverse  cardiovascular event (MACE) {periprocedural MI} occurred  in 2 (02 %) cases. Minor cardiovascular complications  revealed vascular haematoma 2 (02%), bleeding from access  site in 1 (01%), transient ventricular fibrillation (VF) in 3  (03%) cases. There was no hospital death, emergency CABG  before discharge from hospital. Angiographic, procedural and  clinical success rate were excellent with a little MACE and  event free survival within 30 days follow up. So, PCI is a safe  and effective method of myocardial revascularization  irrespective of lesion morphology and type of stents used at  immediate and 30 days follow up. DOI: http://dx.doi.org/10.3329/medtoday.v24i1.14106 Medicine TODAY Vol.24(1) 2012 pp.8-11

scholarly journals Percutaneous Coronary Interventions in Patients With ST-Elevation Myocardial Infarction: 10-Years Follow-up

Kardiologiia ◽  
2020 ◽  
Vol 60 (6) ◽  
pp. 69-75
Author(s):  
I. S. Bessonov ◽  
V. A. Kuznetsov ◽  
A. O. Dyakova ◽  
E. A. Gorbatenko ◽  
L. G. Evlampieva ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Death Rate ◽  
Coronary Bypass ◽  
Cardiovascular Death ◽  
Percutaneous Coronary Interventions ◽  
Coronary Interventions ◽  
Cerebrovascular Complications ◽  
Stent Restenosis ◽  
Percutaneous Coronary

Aim      To study long-term results and to identify predictors of death in patients with ST-segment elevation acute myocardial infarction (STEMI) who underwent endovascular revascularization.Materials and methods This study included 283 patients registered in the hospital registry of percutaneous coronary interventions (PCI) for STEMI from 2006 through 2009. Analysis of 10-year results included all-cause and cardiovascular death rate, incidence of recurrent myocardial infarction (MI), repeated revascularization, stroke, stent restenosis and thrombosis. Also, a composite endpoint МАССЕ (Major Adverse Cardiovascular and Cerebrovascular Events) was evaluated, which included death, recurrent MI, repeated PCI, stent restenosis and thrombosis, coronary bypass, and stroke.Results Information about the health condition was provided by 204 (72.1 %) patients. Mean follow-up period was 120.1±9.5 months. All-cause mortality was 25.5 % with cardiovascular death determined in 19.1 % of cases. Recurrent MI developed in 21.6 % of patients; in 1.5 % of cases, recurrent MI resulted from thrombosis of previously implanted stents. Repeated PCI was performed for 31.9 % of patients; in 13.7 % of cases, the PCI was performed for stent restenosis. Coronary bypass was performed for 5.4 % of patients. Incidence of stroke was 10.3 %. Major cardiovascular and cerebrovascular complications (МАССЕ) during the follow-up period were determined in 60.3 % patients. According to the Cox proportional hazards regression model, age ≥65 years (odds ratio (OR), 3.75 at 95 % confidence interval (CI) from 1.75 to 8.03; р=0.001) and incomplete coronary revascularization (OR, 3.09 at 95 % CI from 1.52 to 6.30; р=0.002) were independent predictors of death based on data of the 10-year observation.Conclusion      Therefore, at 10 years following endovascular revascularization, STEMI patients showed a moderate death rate with a high incidence of major cardiovascular and cerebrovascular complications. The leading causes for fatal outcomes were recurrent cardiovascular complications. The major predictors of death for the coming 10-year period included age ≥65 years and incomplete myocardial revascularization.

scholarly journals Percutaneous Coronary Intervention without onsite Cardiac Surgery Backup

2013 ◽  
Vol 52 (189) ◽  
pp. 267-271
Author(s):  
Laxman Dubey ◽  
Sanjib Kumar Sharma ◽  
Rabindra Bhattacharya ◽  
Sogunuru Guruprasad ◽  
Gangapatnam Subramanyam
Keyword(s):  
Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Cardiac Surgery ◽  
Coronary Intervention ◽  
Tertiary Level ◽  
Percutaneous Coronary Interventions ◽  
Coronary Interventions ◽  
Percutaneous Coronary ◽  
St Elevation ◽  
Level Hospital

Introduction: Mechanical revascularization by percutaneous coronary interventions has now become an established and preferable method of revascularization in patients with acute coronary syndromes. The aim of the study was to identify the clinical indications for percutaneous coronary interventions and in-hospital outcomes of percutaneous coronary interventions in a tertiary-level hospital without onsite cardiac surgery backup. Methods: This was a prospective descriptive study. All consecutive patients who were admitted  for percutaneous coronary interventions, including both primary as well as elective percutaneous coronary interventions, between March 2011 and December 2012 were included in the study. Results: Total 101 percutaneous coronary interventions were performed. The mean age was 58.9 ± 12.3 years. The most frequent indication was ST-elevation myocardial infarction 72 (71.3%). Proximal artery stenting were performed in 39 (38.5%) and the non proximal artery stenting in 62 (61.5%). The outcomes were mortality 5 (4.9%), periprocedural myocardial infarction 2 (1.9%), cardiogenic shock 6 (5.9%), contrast induced nephropathy requiring dialysis in 3 (2.9%), minor complications which were managed conservatively in 13 (12.9%). Conclusions: Percutaneous coronary intervention was feasible with acceptable complications in a tertiary-level hospital without onsite cardiac surgery backup. ST-elevation myocardial infarction was the major indication and cardiogenic shock was the major complication observed, and non proximal  artery stenting was more common than the proximal artery stenting. Keywords: indication; onsite cardiac surgery; outcomes; percutaneous coronary interventions.

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