Document Detail

Primary angioplasty without on-site surgical back-up: the first experience with mobile catheterization facility.
MedLine Citation:
PMID:  15550736     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: The aim of the present study is to assess the safety and efficacy of performing primary angioplasty in a center without on-site surgical back-up, and compare the data with the literature. METHODS: Seventy-eight consecutive primary angioplasty procedures, performed in our center from January 2001 to February 2003, were followed prospectively. Clinical and demographic characteristics of the patients, procedural success, early and late outcomes of the patients were taken into account. The safety of angioplasty was assessed by the analysis of in-hospital complications (death, urgent need for repeat revascularization, AMI with or without ST-elevation and stroke). The angioplasty procedures were considered effective when the post-procedural residual stenosis did not exceed 50% with the distal Thrombolysis in Myocardial Infarction (TIMI) grade III flow. RESULTS: The device success rate was 92.3%. Angiographic success rate was 88.8%. In hospital mortality rate was 4.1%. These patients were admitted with cardiogenic shock; 1 died during the procedure and the other 2 died during hospital follow-up. One patient died suddenly and another developed acute MI during the 6-month follow-up period. No patients developed stroke or were referred for urgent surgery. Four patients (5.5%) underwent repeat angioplasty during follow-up. CONCLUSIONS: Primary angioplasty can be safely performed in centers without on-site surgery. The efficacy and safety requirements of angioplasty, performed in a center without on-site surgical back-up using a mobile catheterization facility were similar to the data obtained from the literature.
Ramazan Akdemir; Hakan Ozhan; Enver Erbilen; Mehmet Yazici; Sinan Albayrak; Huseyin Gunduz; Cihangir Uyan
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  16     ISSN:  1042-3931     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-11-19     Completed Date:  2005-01-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  645-8     Citation Subset:  IM    
Department of Cardiology, Aibu Duzce Medical School, Duzce, Konuralp, 81620, Turkey.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects,  methods*,  standards
Cohort Studies
Coronary Angiography
Coronary Artery Bypass
Emergency Medical Services*
Follow-Up Studies
Heart Catheterization
Hospital Units / standards,  trends
Laboratories, Hospital / standards,  trends
Middle Aged
Myocardial Infarction / mortality*,  radiography,  therapy*
Prospective Studies
Risk Assessment
Severity of Illness Index
Survival Analysis
Treatment Outcome
Comment In:
J Invasive Cardiol. 2004 Nov;16(11):649   [PMID:  15550737 ]

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