Contemporary Trends, Predictors and Outcomes of Perforation During Percutaneous Coronary Intervention (From the NCDR Cath PCI Registry).
| Title: | Contemporary Trends, Predictors and Outcomes of Perforation During Percutaneous Coronary Intervention (From the NCDR Cath PCI Registry). |
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| Authors: | Nairooz R; St David's Hospital, Austin, Texas.; Parzynski CS; Yale University, School of Medicine, New Haven, Connecticut.; Curtis JP; Yale University, School of Medicine, New Haven, Connecticut.; Mohsen A; Division of Cardiology, William Beaumont hospital, Royal Oak, Michigan.; McNulty E; Division of Cardiology, Kaiser Permanente Medical Center, San Francisco, California.; Uretsky BF; Central Arkansas VA Heath System, Little Rock, Arkansas.; Hakeem A; Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ & The Aga Khan University Medical School, Karachi, Pakistan. Electronic address: ahakeem@gmail.com. |
| Source: | The American journal of cardiology [Am J Cardiol] 2020 Sep 01; Vol. 130, pp. 37-45. Date of Electronic Publication: 2020 Jun 17. |
| Publication Type: | Journal Article; Multicenter Study |
| Language: | English |
| Journal Info: | Publisher: Excerpta Medica Country of Publication: United States NLM ID: 0207277 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1913 (Electronic) Linking ISSN: 00029149 NLM ISO Abbreviation: Am J Cardiol Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: New York, NY : Excerpta Medica |
| MeSH Terms: | Coronary Vessels/*injuries ; Intraoperative Complications/*epidemiology ; Intraoperative Complications/*etiology ; Percutaneous Coronary Intervention/*adverse effects; Coronary Occlusion/surgery ; Aged ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Registries ; Risk Assessment |
| Abstract: | Coronary artery perforation (CP) is a rare but potentially life-threatening complication of percutaneous coronary intervention (PCI). Given the marked increase in high-risk and complex PCIs, careful review and understanding of PCI complications may help to improve procedural and clinical outcomes. Our aim was to study the trends, predictors and outcomes of CP in the contemporary era. This cross-sectional multicenter analysis included data collected from institutions participating in the National Cardiovascular Data Registry CathPCI Registry between July 2009 and June 2015. Multivariable logistic regression models were created to identify predictors of CP and compare the in-hospital outcomes of CP and non-CP patients. Of 3,759,268 PCIs performed during the study period, there were 13,779 CP (0.37%). During the study period, the proportion of PCI that developed CP remained unchanged (0.33% to 0.4%) (p for trend 0.16). Chronic total occlusion (CTO) PCI as percentage of total PCI volume increased over the study period (3% to 4%) (p for trend |
| Entry Date(s): | Date Created: 20200716 Date Completed: 20201112 Latest Revision: 20201112 |
| Update Code: | 20260130 |
| DOI: | 10.1016/j.amjcard.2020.06.014 |
| PMID: | 32665131 |
| Database: | MEDLINE |
Journal Article; Multicenter Study