| Direct Angioplasty for Myocardial Infarction: One-Year Experience in a Center with Surgical Back-up 220 Miles Away. | |
| | |
MedLine Citation:
|
PMID: 10762920 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
AIMS: To report the outcome of patients undergoing angioplasty for myocardial infarction in a general hospital in a city without cardiac surgery serving an extended population of 500,000. The nearest cardiac surgical facilities are 220 miles away. METHODS AND RESULTS: Consecutive, unselected patients with myocardial infarction associated/complicated by: cardiogenic shock (n=10), a contraindication to thrombolysis (n=16), anterior site (n=27), stent or vein graft thrombosis (n=7) or failed thrombolysis (n=11) comprised the study group (n=71) who underwent angioplasty as a reperfusion strategy. In patients presenting without cardiogenic shock, the primary procedural success rate (absence of complications, TIMI 3 flow and a residual diameter stenosis <50%) was 93.4%. In those presenting in cardiogenic shock (CGS) the procedural success rate was 40%. Seven patients (6 with CGS) died prior to hospital discharge for reasons unrelated to the angioplasty procedure (6 progressive shock, one neurological sequelae because of delayed resuscitation). Four additional patients had recurrent infarctions, all were successfully treated by repeat PTCA. Two patients were transferred emergently, by air, to the regional cardiothoracic unit in a stable state in case surgery was required. In neither instance was this the result of a direct complication of angioplasty. CONCLUSIONS: Direct angioplasty for myocardial infarction may be safely performed by trained operators in centers without nearby surgical backup. |
| | |
Authors:
|
Smyth; Richards; Elliott |
Publication Detail:
|
Type: JOURNAL ARTICLE |
Journal Detail:
|
Title: The Journal of invasive cardiology Volume: 9 ISSN: 1557-2501 ISO Abbreviation: J Invasive Cardiol Publication Date: 1997 Jun |
Date Detail:
|
Created Date: 2000-04-13 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: - |
Other Details:
|
Languages: ENG Pagination: 324-332 Citation Subset: - |
Affiliation:
|
Department of Cardiology, Christchurch Hospital, Private Bag, Christchurch, New Zealand. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Intravascular Ultrasound Assessment of the Mechanisms and Predictors of Restenosis Following Coronar...
Next Document: Percutaneous Revascularization of Lower Extremity Arterial Disease in Females Compared to Males.