无现场外科后备的经皮冠状动脉介入治疗；荷兰一家大型社区医院的两年登记研究。

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

机构信息

Department of Cardiology, Medical Centre Alkmaar, Wilhelminalaan 12, PBX 501, 1800 AM, Alkmaar, The Netherlands.

出版信息

Int J Cardiol. 2009 Feb 6;132(1):59-65. doi: 10.1016/j.ijcard.2007.10.037. Epub 2008 Jan 31.

DOI:10.1016/j.ijcard.2007.10.037

PMID:18241941

Abstract

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.

摘要

目的

评估荷兰介入性心血管系统中异地经皮冠状动脉介入治疗（PCI）的安全性和疗效。

方法和结果

对选择性和紧急 PCI 的描述性单中心注册研究。该研究在荷兰一家社区医院进行，该医院位于阿姆斯特丹以北 40 公里处，服务人群约 40 万。对 PCI 术后 30 天的主要心脏和脑血管不良事件（MACCE）进行临床随访。有资格接受 PCI 的总人数为 781 人，其中 545 人为男性，236 人为女性。在两年期间，共进行了 781 次 PCI，其中 298 次为紧急 PCI，483 次为选择性 PCI。急性并发症的发生率为 2.1%。AMI 组的 MACCE 无事件率为 86.9%，择期组为 95.8%。