Department of Cardiology, VieCuri Medical Center Venlo, Tegelseweg 210, 5912BL, Venlo, the Netherlands,
Neth Heart J. 2013 Oct;21(10):449-55. doi: 10.1007/s12471-013-0447-2.
Analysis of the first results of off-site percutaneous coronary interventions (PCI) and fractional flow reserve (FFR) measurements at VieCuri Medical Centre for Northern Limburg in Venlo.
Off-site PCI is accepted in the European and American Cardiac Guidelines as the need for PCI increases and it has been proven to be a safe treatment option for acute coronary syndrome.
Retrospective cohort study reporting characteristics, PCI and FFR specifications, complications and 6-month follow-up for all consecutive patients from the beginning of off-site PCI in Venlo until July 2012. If possible, the data were compared with those of Medical Centre Alkmaar, the first off-site PCI centre in the Netherlands.
Of the 333 patients, 19 (5.7 %) had a procedural complication. At 6 months, a major adverse cardiovascular event (MACE) occurred in 43 (13.1 %) patients. There were no deaths or emergency surgery related to the PCI or FFR procedures. There was no significant difference in occurrence of a MACE or adverse cerebral event between the Alkmaar and Venlo population in the 30-day follow-up.
This study demonstrates off-site PCI at VieCuri Venlo to have a high success rate. Furthermore, there was a low complication rate, low MACE and no procedure-related mortality.
分析位于芬洛的北林堡维库里医疗中心进行异地经皮冠状动脉介入治疗（PCI）和血流储备分数（FFR）测量的初步结果。
异地 PCI 在欧洲和美国心脏病学指南中被认可，因为 PCI 的需求增加，并且已经证明它是急性冠状动脉综合征的一种安全治疗选择。
回顾性队列研究报告了从芬洛开始进行异地 PCI 到 2012 年 7 月期间所有连续患者的特征、PCI 和 FFR 规范、并发症和 6 个月随访的情况。如果可能的话，将数据与荷兰第一家异地 PCI 中心阿尔克马尔医疗中心的数据进行比较。
在 333 名患者中，有 19 名（5.7%）出现了手术并发症。在 6 个月时，43 名（13.1%）患者发生了主要不良心血管事件（MACE）。没有与 PCI 或 FFR 手术相关的死亡或紧急手术。在 30 天随访中，阿尔克马尔和芬洛人群之间的 MACE 或不良脑事件发生率没有显著差异。
本研究表明维库里芬洛的异地 PCI 成功率高。此外，并发症发生率低，MACE 发生率低，无与手术相关的死亡率。
