Percutaneous coronary intervention without on site surgical back-up; two-years registry of a large Dutch community hospital

被引：7

作者：

Peels, J. O. J. ^{[2
]}

Hautvast, R. W. M. ^{[2
]}

de Swart, J. B. R. M. ^{[2
]}

Huybregts, M. A. J. M. ^{[3
]}

Umans, V. A. W. M. ^{[2
]}

Arnold, A. E. R. ^{[2
]}

Jessurun, G. A. J. ^{[1
]}

Zijlstra, F. ^{[1
]}

机构：

[1] Univ Groningen, Univ Med Ctr Groningen, Thoraxctr, Dept Cardiol, NL-9700 RB Groningen, Netherlands

[2] Med Ctr Alkmaar, Dept Cardiol, NL-1800 AM Alkmaar, Netherlands

[3] Free Univ Amsterdam, Med Ctr, Dept Thorac Surg, NL-1007 MB Amsterdam, Netherlands

来源：

INTERNATIONAL JOURNAL OF CARDIOLOGY | 2009年 / 132卷 / 01期

关键词：

Off site angioplasty; Community hospital; Outcome; Surgical backup; ACUTE MYOCARDIAL-INFARCTION; ON-SITE; PRIMARY ANGIOPLASTY; THROMBOLYTIC THERAPY; CARDIAC-SURGERY; QUALITY-CONTROL; VOLUME; CENTERS; MORTALITY; HEART;

D O I：

10.1016/j.ijcard.2007.10.037

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims: To assess safety and efficacy of off-site percutaneous coronary intervention (PCI) in The Dutch invasive cardiovascular system. Methods and results: Descriptive single centre registry of elective and emergency PCI. Setting is a Dutch community hospital, 40 km north of Amsterdam, with an adherent population of 400,000 people. A Clinical follow up of Major Adverse Cardiac and Cerebral Events (MACCE) at 30 days post PCI is performed. The total number of participants eligible for PCI was 781 of whom 545 were men and 236 women. During a two-year period 781 PCI's were performed of which 298 were emergency and 483 elective. Acute complications occurred in 2.1% of participants. MACCE-free was 86.9% in the group with AMI and 95.8% in the elective group. Conclusions: Off-site PCI is feasible and safe in The Netherlands on the condition that specific key factors for success are taken into consideration. (C) 2007 Elsevier Ireland Ltd. All rights reserved.

引用

页码：59 / 65

页数：7

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