在一家社区医院进行无现场手术支持的择期经皮冠状动脉介入治疗后的结果。

Outcomes following elective percutaneous coronary intervention without on-site surgical backup in a community hospital.

作者信息

Paraschos Alexander, Callwood Dwayne, Wightman Marilyn B, Tcheng James E, Phillips Harry R, Stiles Gary L, Daniel John M, Sketch Michael H

机构信息

Alamance Regional Medical Center, Burlington, North Carolina, USA.

出版信息

Am J Cardiol. 2005 May 1;95(9):1091-3. doi: 10.1016/j.amjcard.2004.12.066.

DOI:10.1016/j.amjcard.2004.12.066

PMID:15842979

Abstract

Despite guidelines to the contrary, limited numbers of elective percutaneous coronary intervention (PCI) procedures without on-site surgical backup are being performed, particularly in Europe and Canada. In the United States, many hospitals are considering establishing on-site surgical programs, in part to facilitate PCI. At a hospital with only off-site surgical backup, 562 elective PCI procedures were performed on 489 consecutive patients. Of these, 551 (98.0%) were successfully completed without major in-hospital complications; 5 patients (1.0%) had in-hospital complications, and 4 (0.8%) were urgently transferred. It is concluded that elective PCI with off-site surgical backup is feasible and safe for selected patients under specific conditions.

摘要

尽管有相反的指导方针，但仍有数量有限的无现场手术支持的择期经皮冠状动脉介入治疗（PCI）手术正在进行，尤其是在欧洲和加拿大。在美国，许多医院正在考虑建立现场手术方案，部分原因是为了促进PCI。在一家只有场外手术支持的医院，对489例连续患者进行了562例择期PCI手术。其中，551例（98.0%）成功完成，无重大院内并发症；5例（1.0%）出现院内并发症，4例（0.8%）被紧急转运。结论是，在特定条件下，对于选定的患者，场外手术支持的择期PCI是可行且安全的。