Why the study?
Does predilation compared to direct stent implantation affect hospital mortality and major adverse cardiac events in patients undergoing primary percutaneous coronary intervention?
Population
17,515 patients undergoing primary percutaneous coronary intervention registered at the Central Nacional de…
Comparison
Predilation prior to stent implantation during… vs Direct stent implantation without predilation
Design
Cohort
Follow-up
In-hospital
Key result
Predilation during primary percutaneous coronary intervention was an independent predictor of hospital mortality and associated with higher rates of major adverse cardiac events.
Authors
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Marks higher-risk primary PCI cases; hypothesis-generating and should not yet change stent strategy.
Observational (n=17,515)
Yes
Does predilation compared to direct stent implantation affect hospital mortality and major adverse cardiac events in patients undergoing primary percutaneous coronary intervention?
In primary percutaneous coronary intervention, the need for predilation is a marker of greater clinical and angiographic complexity and serves as an independent predictor of in-hospital mortality.
Miranda et al. (2016) conducted an observational in Primary percutaneous coronary intervention (n=17,515). Predilation vs. Direct stent implantation was evaluated on Hospital mortality and major adverse cardiac events. Predilation during primary percutaneous coronary intervention was an independent predictor of hospital mortality and associated with higher rates of major adverse cardiac events.
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