Primary angioplasty in a high-volume tertiary center in Turkey: in-hospital clinical outcomes of 1625 patients.

Abstract

OBJECTIVES:

We evaluated in-hospital results of primary percutaneous coronary intervention (PCI) in a high-volume tertiary center.

STUDY DESIGN:

We retrospectively evaluated 1625 patients (1323 males, 302 females; mean age 56.0 ± 11.6 years) who underwent primary PCI for acute ST-elevation myocardial infarction between January 2006 and April 2008. All coronary angiography procedures were performed using the femoral artery route. In-hospital clinical and angiographic results were recorded.

RESULTS:

On admission, 23% of the patients had diabetes mellitus, 49.6% had anterior myocardial infarction, and 4.9% had cardiogenic shock. The mean duration of pain was 171.2 ± 121.2 minutes, and the mean door-to-balloon time was 31.6 ± 7.2 minutes. Infarct-related artery was the left anterior descending artery in 49.7%, multivessel disease was present in 40.9%, TIMI 2/3 flow was present in 23.6%, and high-grade thrombus was observed in 66.8%. Primary PCI involved balloon dilatation (5.7%) and stent implantation (94.3%). The incidence of angiographic no-reflow was 11.9%. The mean hospital stay was 5.2 ± 3.3 days. All-cause mortality occurred in 71 patients (4.4%). Other in-hospital events were reinfarction (1.4%), target vessel revascularization (1.9%), hemorrhagic/ischemic stroke (0.6%), stent thrombosis (1.2%), major bleeding (3.8%), blood transfusion (4.8%), heart failure (10.5%), atrial fibrillation (4%), and ventricular tachycardia (3.9%).

CONCLUSION:

Primary PCI is an effective method in achieving complete revascularization of the infarct-related artery. Successful in-hospital results not only depend on the experience and equipment of the center, but also on how rapidly reperfusion is achieved.

• Authors: Cevat Kırma, Vecih Oduncu, Ali Cevat Tanalp, Ayhan Erkol, Cihan Dündar, Dicle Sırma, Kürşat Tigen, Selçuk Pala, Akın Izgi, Muhsin Türkmen, Hasan Sunar
• Journal: Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir (Turk Kardiyol Dern Ars) Vol. 39 Issue 4 Pg. 300-7 (Jun 2011) ISSN: 1016-5169 [Print] Turkey
• PMID: 21646831 (Publication Type: Journal Article)

Topics

• Angioplasty, Balloon, Coronary (statistics & numerical data)
• Coronary Angiography
• Female
• Hospitals
• Humans
• Length of Stay
• Male
• Middle Aged
• Myocardial Infarction (diagnostic imaging, epidemiology, therapy)
• Retrospective Studies
• Treatment Outcome
• Turkey (epidemiology)