Piyayotai Dilok, Hutayanon Pisit
Cardiology Unit, Department of Medicine, Faculty ofMedicine, Thammasat University, Pathumthani, Thailand.
J Med Assoc Thai. 2010 Dec;93 Suppl 7:S210-5.
To study the results of percutaneous coronary intervention (PCI) and in-hospital outcomes in cardiac catheterization laboratory, Thammasat University Hospital since May, 2006 until April, 2009.
This is the prospective, single-center study. The consecutive patients who underwent PCI in Thammasat University Hospital since May 2006 to April 2009 were recruited in the study. Clinical data, angiographic data, and in-hospital outcomes were analyzed and demonstrated.
Six hundred and seventeen patients undergoing 755 PCI procedures were enrolled in the study. 62.70% were male and 37.30% were female. Mean age was 65.45 +/- 11.21 years (range 33-97 years) and 20.10% were more than 75 years old. The indications for PCI were non-ST segment-elevation acute coronary syndrome (NSTEACS) (41.72%), chronic stable angina (25.32%), acute ST segment elevation myocardial infarction (STEMI) (8.87%), staged PCI (15.76%). The other indications were heart failure, cardiomyopathy, post-cardiac arrest and etc. The procedure was single vessel PCI in 73.25% and multivessel PCI in 26.75% (double vessels PCI 24.64% and triple vessels PCI 2.11%). According to lesion locations, 45.21% were left anterior descending (LAD) artery lesions, 30.09% were right coronary artery (RCA) lesions, 23.28% were left circumflex (LCX) artery lesions, 1.19% were left main (LM) lesions and 0.24% were graft lesions. The overall angiographic success rate was 95.57%. During hospital stay the major adverse events developed as death in 0.93%, periprocedural myocardial infarction in 3.17%, emergency coronary artery bypass graft in 0.53%, and stroke in 0.26%.
During the first three years of PCI experience in Thammasat University Hospital, the overall success rate was high with low in-hospital adverse outcomes.
研究2006年5月至2009年4月期间，泰国法政大学医院心脏导管实验室经皮冠状动脉介入治疗（PCI）的结果及院内结局。
这是一项前瞻性单中心研究。纳入2006年5月至2009年4月期间在泰国法政大学医院接受PCI的连续患者。对临床数据、血管造影数据和院内结局进行分析并展示。
617例患者接受了755次PCI手术并纳入研究。男性占62.70%，女性占37.30%。平均年龄为65.45±11.21岁（范围33 - 97岁），20.10%的患者年龄超过75岁。PCI的适应证为非ST段抬高型急性冠状动脉综合征（NSTEACS）（41.72%）、慢性稳定型心绞痛（25.32%）、急性ST段抬高型心肌梗死（STEMI）（8.87%）、分期PCI（15.76%）。其他适应证包括心力衰竭、心肌病、心脏骤停后等。手术为单支血管PCI的占73.25%，多支血管PCI的占26.75%（双支血管PCI占24.64%，三支血管PCI占2.11%）。根据病变部位，左前降支（LAD）动脉病变占45.21%，右冠状动脉（RCA）病变占30.09%，左旋支（LCX）动脉病变占23.28%，左主干（LM）病变占1.19%，移植血管病变占0.24%。总体血管造影成功率为95.57%。住院期间主要不良事件发生率为：死亡0.93%，围手术期心肌梗死3.17%，急诊冠状动脉搭桥术0.53%，中风0.26%。
在泰国法政大学医院开展PCI的前三年，总体成功率较高，院内不良结局发生率较低。
