[Percutaneous coronary intervention in acute coronary syndrome: single center experience from 4670 patients]
Ya-ling Han1, Geng Wang, Quan-min Jing
1Department of Cardiology, Shenyang General Hospital of People's Liberation Army, Shenyang 110016, China.
Insights
Percutaneous coronary intervention (PCI) effectively treats acute coronary syndrome (ACS) with high success rates and low in-hospital mortality. This procedure demonstrates an ideal short-term outcome for ACS patients.
Area of Science:
- Cardiology
- Interventional Cardiology
Context:
- Acute coronary syndrome (ACS) encompasses conditions like myocardial infarction and unstable angina.
- Percutaneous coronary intervention (PCI) is a common revascularization technique for ACS.
Purpose:
- To evaluate the in-hospital efficacy and safety of PCI in patients diagnosed with ACS.
- To analyze the success rates, complication rates, and mortality associated with PCI in ACS patients.
Summary:
- A retrospective analysis of 4670 ACS patients undergoing PCI revealed a high overall success rate of 98.1%.
- Emergency PCI for acute myocardial infarction within 24 hours showed a 98.2% artery patency rate.
- The in-hospital complication rate was 6.5%, with a total in-hospital mortality of 1.1%.
Impact:
- PCI demonstrates a high success rate and favorable short-term outcomes in the management of acute coronary syndrome.
- Low complication and mortality rates suggest PCI is a safe and effective intervention for ACS patients.
Objective:
To explore the in-hospital effect of percutaneous coronary intervention (PCI) on patients with acute coronary syndrome (ACS).
Methods:
The clinical data of 4670 hospitalized patients with ACS, 1750 with acute myocardial infarction (AMI, 37.5%) within 30 days and 2920 with unstable angina pectoris (62.5%), undergoing PCI from August 1989 to October 2004, were analyzed.
Results:
The total success rate of PCI procedure was 98.1% (4579/4670) for all patients, and the patency rate of infarction related artery of emergency PCI was 98.2% (825/840) in the patients with AMI onset within 24 h. The complication rate related to PCI procedure was 6.5% (304/4670). The total in-hospital mortality was 1.1% (52/4670) and the mortality during PCI procedure was 0.04% (2/4670). The duration from admission to PCI was 3.5 days +/- 2.1 days and the whole hospital stay was 12 days +/- 8 days.
Conclusion:
The success rate of PCI procedure in patients with ACS is high, while the in-hospital mortality and the complication rates are low, which shows that PCI has an ideal short-term effect in patients with ACS.
Related Concept Videos
Acute Coronary Syndrome I: Introduction
Acute Coronary Syndrome III: Diagnostic Studies
Cardiac Catheterization I: Pre-Procedure Overview
