In-hospital outcomes of ad hoc versus planned PCI for unprotected left-main disease: An analysis of 8574 cases from British Cardiovascular Intervention Society database 2006-2018.
| Title: | In-hospital outcomes of ad hoc versus planned PCI for unprotected left-main disease: An analysis of 8574 cases from British Cardiovascular Intervention Society database 2006-2018. |
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| Authors: | Kinnaird T; Department of Cardiology, University Hospital of Wales, Cardiff, UK.; Gallagher S; Department of Cardiology, University Hospital of Wales, Cardiff, UK.; Farooq V; Department of Cardiology, University Hospital of Wales, Cardiff, UK.; Protty MB; Department of Cardiology, University Hospital of Wales, Cardiff, UK.; Cranch H; Department of Cardiology, University Hospital of Wales, Cardiff, UK.; Devlin P; Department of Cardiology, University Hospital of Wales, Cardiff, UK.; Sharp A; Department of Cardiology, University Hospital of Wales, Cardiff, UK.; Curzen N; Department of Cardiology, University Hospital NHS Trust, Southampton, UK.; Ludman P; Department of Cardiology, Queen Elizabeth Hospital, Birmingham, UK.; Hildick-Smith D; Department of Cardiology, Sussex Cardiac Centre, Brighton, UK.; Johnson T; Department of Cardiology, Bristol Royal Infirmary, Bristol, UK.; Mamas MA; Department of Cardiology, Royal Stoke Hospital, UHNM, Stoke-on-Trent, UK. |
| Source: | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2024 Oct; Vol. 104 (4), pp. 697-706. Date of Electronic Publication: 2024 Sep 05. |
| Publication Type: | Journal Article; Comparative Study |
| Language: | English |
| Journal Info: | Publisher: Wiley-Liss Country of Publication: United States NLM ID: 100884139 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-726X (Electronic) Linking ISSN: 15221946 NLM ISO Abbreviation: Catheter Cardiovasc Interv Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: New York, NY : Wiley-Liss, c1999- |
| MeSH Terms: | Percutaneous Coronary Intervention*/adverse effects ; Percutaneous Coronary Intervention*/mortality ; Coronary Artery Disease*/therapy ; Coronary Artery Disease*/mortality ; Coronary Artery Disease*/diagnostic imaging ; Databases, Factual* ; Hospital Mortality*; Humans ; Male ; Female ; Treatment Outcome ; Aged ; Risk Factors ; United Kingdom ; Time Factors ; Middle Aged ; Risk Assessment ; Retrospective Studies ; Clinical Decision-Making ; Aged, 80 and over |
| Abstract: | Background: Although data suggests ad hoc percutaneous coronary intervention (PCI) results in similar patient outcomes compared to planned PCI in nonselected patients, data for ad hoc unprotected left main stem PCI (uLMS-PCI) are lacking.; Aim: To determine if in-hospital outcomes of uLMS-PCI vary by ad hoc versus planned basis.; Methods: Data were analyzed from all patients undergoing uLMS-PCI in the United Kingdom 2006-2018, and patients grouped into uLMS-PCI undertaken on an ad hoc or a planned basis. Patients who presented with ST-segment elevation, cardiogenic shock, or with an emergency PCI indication were excluded.; Results: In total, 8574 uLMS-PCI procedures were undertaken with 2837 (33.1%) of procedures performed on an ad hoc basis. There was a lower likelihood of intervention for stable angina (28.8% vs. 53.8%, p |
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| Contributed Indexing: | Keywords: left main artery; national database; percutaneous coronary intervention; ad hoc PCI |
| Entry Date(s): | Date Created: 20240905 Date Completed: 20241008 Latest Revision: 20250507 |
| Update Code: | 20260130 |
| DOI: | 10.1002/ccd.31210 |
| PMID: | 39234653 |
| Database: | MEDLINE |
Journal Article; Comparative Study