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

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

K H A J Koolen  1 , K A Mol  2 , B M Rahel  2 , F Eerens  2 , S Aydin  2 , R P T Troquay  2 , L Janssen  2 , W A L Tonino  3 , J G Meeder  2
Affiliations

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

K H A J Koolen et al. Neth Heart J. 2016 Oct.

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.

Keywords: Coronary disease; Off-site; Outcomes; Percutaneous coronary intervention; Primary.

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Conflict of interest statement

Conflict of interestK.H.A.J. Koolen, K.A. Mol, B.M. Rahel, F. Eerens, S. Aydin, R.P.T. Troquay, L. Janssen, W.A.L. Tonino and J.G. Meeder state that they have no competing interest.

Figures

Fig. 1
Fig. 1
Number of vessel disease. (VC VieCuri Medical Centre Venlo, CZE Catharina Hospital Eindhoven)
Fig. 2
Fig. 2
Culprit vessel. (VC VieCuri Medical Centre Venlo, CZE Catharina Hospital Eindhoven, LM left main, LAD left anterior descending, RCX right circumflex, RCA right coronary artery)
Fig. 3
Fig. 3
Number of lesions. (VC VieCuri Medical Centre Venlo, CZE Catharina Hospital Eindhoven)
Fig. 4
Fig. 4
Diameter stenosis as percentage. (VC VieCuri Medical Centre Venlo, CZE Catharina Hospital Eindhoven)
See this image and copyright information in PMC

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