Elective percutaneous coronary intervention in a center without on-site cardiac surgery support achieved a 98% clinical success rate and a 2% major adverse cardiovascular event rate at 30 days.
Observational (n=100)
No
Does elective PCI result in high success rates and low MACE in patients with CAD treated at a center without on-site cardiac surgery support?
Elective PCI can be performed safely and effectively with high success rates and low complication rates in centers without on-site cardiac surgery support.
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
Badrul et al. (Sat,) conducted a observational in Coronary artery disease (n=100). Percutaneous Coronary Interventions (PCI) was evaluated on Clinical success rate. Elective percutaneous coronary intervention in a center without on-site cardiac surgery support achieved a 98% clinical success rate and a 2% major adverse cardiovascular event rate at 30 days.
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