Document Detail


The decline in PCI complication rate: 2003-2006 versus 1999-2002.
MedLine Citation:
PMID:  19767279     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Technical improvements permit the performance of percutaneous coronary interventions (PCI) reliably and safely. However, adverse events during such procedures have still not been eliminated. The purpose of this study was to assess the current rates of complications from PCI, as well as any changes from 1999 to 2006.
METHODS: Prospectively collected Lenox Hill Hospital data were abstracted from the New York State PCI Report forms and a review of the Quality Improvement office database. The reported complications from 23,399 consecutive PCIs performed during an eight-year period (January 1999 to December 2006) were recorded. The one-month composite endpoint (CEP: death, myocardial infarction, stent thrombosis, stroke, or emergent cardiac surgery within one month of the PCI) and the one-month composite endpoint excluding stent thrombosis (CEPnoST) were evaluated.
RESULTS: Complications occurred in 3.36% of PCIs. The following complication rates were found: one month death rate 0.6%, death in the catheterization suite 0.047%, stent thrombosis (one month) 0.53%, presumed stent thrombosis (one month) 0.82%, myocardial infarction (MI: either Q or non-Q wave) 0.74%, emergent cardiac surgery 0.15%, stroke 0.29%, cardiac perforation 0.29%, retroperitoneal bleeding 0.18%, acute renal failure 0.28%, need for hemodialysis 0.17%, CEP 1.8% and CEPnoST 1.58%. When the complication rates from the most recent period (2003-2006) were compared with those from the earlier period (1999-2002), a statistically significant difference was found in total complications, CEP, CEPnoST, stroke, MI, and vascular complications.
CONCLUSIONS: Current rates of PCI complications remain low. The overall PCI complication rate was lower during the last four years of the study.
Authors:
Ioannis Stathopoulos; Marcelo Jimenez; Georgia Panagopoulos; Eun Jung Kwak; Monica Losquadro; Howard Cohen; Sriram Iyer; Carlos Ruiz; Gary Roubin; Kirk Garratt
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Hellenic journal of cardiology : HJC = Hellēnikē kardiologikē epitheōrēsē     Volume:  50     ISSN:  2241-5955     ISO Abbreviation:  Hellenic J Cardiol     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-09-21     Completed Date:  2009-12-14     Revised Date:  2013-08-07    
Medline Journal Info:
Nlm Unique ID:  101257381     Medline TA:  Hellenic J Cardiol     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  379-87     Citation Subset:  IM    
Affiliation:
Lenox Hill Heart and Vascular Institute of New York, NY, USA. jstathopoulos@lenoxhill.net
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angioplasty, Balloon, Coronary / adverse effects*,  trends
Humans
Middle Aged
Postoperative Complications / epidemiology

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