在新中心进行院外直接经皮冠状动脉介入治疗是安全的：将临床结果与有外科支持的医院进行比较。

Off-site primary percutaneous coronary intervention in a new centre is safe: comparing clinical outcomes with a hospital with surgical backup.

作者信息

Koolen K H A J, Mol K A, Rahel B M, Eerens F, Aydin S, Troquay R P T, Janssen L, Tonino W A L, Meeder J G

机构信息

Department of Cardiology, VieCuri Medical Centre, Venlo, The Netherlands.

Department of Cardiology, Catharina Hospital, Eindhoven, The Netherlands.

出版信息

Neth Heart J. 2016 Oct;24(10):581-8. doi: 10.1007/s12471-016-0872-0.

DOI:10.1007/s12471-016-0872-0

PMID:27595816

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5039129/

Abstract

OBJECTIVES

To evaluate the procedural and clinical outcomes of a new primary percutaneous coronary intervention (PPCI) centre without surgical back-up (off-site PCI) and to investigate whether these results are comparable with a high volume on-site PCI centre in the Netherlands.

BACKGROUND

Controversy remains about the safety and efficacy of PPCI in off-site PCI centres.

METHODS

We retrospectively analysed clinical and procedural data as well as 6‑month follow-up of 226 patients diagnosed with ST-elevated myocardial infarction (STEMI) who underwent PPCI at VieCuri Medical Centre Venlo and 115 STEMI patients who underwent PPCI at Catharina Hospital Eindhoven.

RESULTS

PPCI patients in VieCuri Medical Centre had similar procedural and clinical outcomes to those in Catharina Hospital. Overall there were no significant differences. The occurrence of procedural complications was low in both groups (8.4 % VieCuri vs. 12.3 % Catharina Hospital). In the VieCuri group there was one procedural-related death. No patients in either group needed emergency surgery. At 30 days, 17 (7.9 %) patients in the VieCuri group and 9 (8.1 %) in the Catharina Hospital group had a major adverse cardiac event.

CONCLUSION

Performing PPCI in an off-site PCI centre is safe and effective. The study results show that the procedural and clinical outcomes of an off-site PPCI centre are comparable with an on-site high-volume PPCI centre.

摘要

目的

评估一家无外科支持（非现场PCI）的新型直接经皮冠状动脉介入治疗（PPCI）中心的手术及临床结局，并调查这些结果是否与荷兰一家高容量现场PCI中心的结果相当。

背景

非现场PCI中心进行PPCI的安全性和有效性仍存在争议。

方法

我们回顾性分析了在维库里医疗中心文洛接受PPCI的226例诊断为ST段抬高型心肌梗死（STEMI）患者以及在埃因霍温卡塔琳娜医院接受PPCI的115例STEMI患者的临床和手术数据以及6个月随访情况。

结果

维库里医疗中心的PPCI患者在手术及临床结局方面与卡塔琳娜医院的患者相似。总体而言，没有显著差异。两组手术并发症的发生率都很低（维库里为8.4%，卡塔琳娜医院为12.3%）。维库里组有1例与手术相关的死亡。两组均无患者需要急诊手术。30天时，维库里组有17例（7.9%）患者和卡塔琳娜医院组有9例（8.1%）患者发生了主要不良心脏事件。