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- Title
CHARACTERISTICS OF PATIENTS GOING FOR BAILOUT THROMBECTOMY DURING PRIMARY PERCUTANEOUS CORONARY INTERVENTION.
- Authors
Alsaidy, Mona A.; Abdelaal, Mohamed; Elsheikh, Ayman
- Abstract
Objective: To study the baseline characteristics, angiographic variables and clinical outcomes of patients going for primary PCI (PPCI) who needed bailout thrombectomy and compare them to patients going for (PPCI) alone. Methodology: This cross sectional study consisted of all patients diagnosed with acute STEMI according to the third universal definition of acute myocardial infarction who underwent primary PCI (PPCI) at the Cardiology Department, Tanta University hospital, and Om Alkora cardiology center were included in the study from 1st March 2015 to 31st March 2017. We enrolled patients going for PPCI. They were admitted to the cathertization laboratory for PPCI. Patients who underwent bailout thrombectomy constituted group 1 while rest of the patients constituted group 2. The primary outcome was a composite of death from cardiovascular causes, recurrent myocardial infarction, cardiogenic shock, or New York Heart Association (NYHA) class IV heart failure while the second outcome was stroke and renal impairment. Results: Total of 830 patintes were included. Group 1 consisted of 130 patients (16%) and group 2 consisted of 700 patients. Women constituted the majority of patients in group 1; 54.6 vs 37.2% (p=0.003). In group 2, they were significantly more diabetic; 53 vs 44%, p=0.004 and more co-morbidities. There were more smokers in group 2; 80 vs 6 %, p<0.0001, more peripheral vascular disease and liver disease 28 vs 10 %, 23 vs 1.5 %, p=0.015 and 0.001 respectively. Patients in group 1 had more renal impairment during hospital stay; 7 vs 4 %, p=0.034, and more patients developed stroke; 1.3 vs 0.7%, p=0.045. Conclusion: Patients with STEMI who were admitted to the catheterization laboratory for PPCI, and needed bailout thrombectomy were more women, more diabetics and showed co-morbidities, they suffered more renal impairment and cerebrovascular events during hospitalization.
- Subjects
CARDIOGENIC shock; PERCUTANEOUS coronary intervention; VASCULAR diseases; MYOCARDIAL infarction; HEART failure; PERIPHERAL vascular diseases
- Publication
Pakistan Heart Journal, 2018, Vol 51, Issue 3, p189
- ISSN
0048-2706
- Publication type
Article