Key result
Primary percutaneous coronary intervention performed by a single experienced operator at community hospitals achieved a median door-to-balloon time of 78 minutes and a 95% procedural success rate.
Why the study?
Does a standardized primary PCI protocol by a single operator in community hospitals achieve D2B times <90 min in STEMI patients?
Observational (n=420)
Yes
Does a standardized primary PCI protocol by a single operator in community hospitals achieve D2B times <90 min in STEMI patients?
Primary PCI for STEMI can be performed with high success rates and predictable D2B times <90 minutes in community hospitals using standardized techniques.
BACKGROUND: Primary angioplasty decreases mortality and improves long-term outcomes for patients with STEMI. To be most effective, it needs to be performed expediently, with door-to-balloon times (D2B) less than 90 min. METHODS: From January 2005 to presently, 420 short D2B STEMI interventions were performed at 5 community hospitals by a single experienced operator creating the SINCERE (Single INdividual Community Experience REgistry) database. RESULTS: Median D2B time was 78 min, median procedure time (local anesthesia to recanalization) was 13 min; 85.2% of procedures had D2B time <90 min; 95% of the procedures were successful - relief of chest pain, >70% ST segment resolution, TIMI 3 flow and Myocardial Perfusion Grade 3. CONCLUSIONS: Primary PCI with high success rates and predictable short D2B times can be performed with standardized techniques in community hospitals.
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Mehta et al. (2009) conducted an observational in ST-elevation myocardial infarction (STEMI) (n=420). Primary percutaneous coronary intervention (PPCI) was evaluated on Procedural success (relief of chest pain, >70% ST segment resolution, TIMI 3 flow, and Myocardial Perfusion Grade 3). Primary percutaneous coronary intervention performed by a single experienced operator at community hospitals achieved a median door-to-balloon time of 78 minutes and a 95% procedural success rate.
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