Similar outcome of ST-elevation myocardial infarction patients treated with primary percutaneous coronary intervention regardless of presence of cardiac surgery on-site.

Abstract:

BACKGROUND:The growing penetration of mechanical reperfusion in ST-elevation myocardial infarction (STEMI) has been achieved by the creation of new percutaneous coronary intervention (PCI) centres which have helped to shorten delays but have compromised PCI volumes. AIM:To compare the outcomes in STEMI patients treated in PCI centres with or without surgical back-up. METHODS:Data concerning 1,650 registry patients was analysed. The analysis was based on cathlab classification with cardiac surgery on site (n = 996) and without (n = 654). RESULTS:There was a 0.3% rate of transfer (two patients out of 654) for urgent coronary artery bypass grafting from PCI centres without cardiac surgery on site. There were no differences in in-hospital and long-term mortality in patients in both studied groups. CONCLUSIONS:No differences in short and long-term outcomes were noticed for STEMI patients treated in centres with or without cardiac surgery on-site.

journal_name

Kardiol Pol

journal_title

Kardiologia polska

authors

Legutko J,Siudak Z,Bartuś S,Dziewierz A,Janzon M,Birkemeyer R,Zmudka K,Dudek D

doi

10.5603/KP.a2014.0131

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

949-53

issue

10

eissn

0022-9032

issn

1897-4279

pii

VM/OJS/KP/8426

journal_volume

72

pub_type

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