Complex Coronary Interventions: Are We Reaching a Plateau?

Franchin, Luca; Boccuzzi, Giacomo; Moniaci, D; Iannaccone, Mario

doi:10.3390/jpm12081298

JPM

2022

DOI: 10.3390/jpm12081298

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Complex Coronary Interventions: Are We Reaching a Plateau?

Luca Franchin

Giacomo Boccuzzi

D Moniaci

et al.

Abstract: The complexity of coronary artery disease is currently on the rise [...]

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2024

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Pericardial tamponade in coronary interventions: Morbidity and mortality

Deshpande,

Sawatari,

Rangan

et al. 2024

Cathet Cardio Intervent

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BackgroundCardiac tamponade or pericardial tamponade (PT) can be a complication following invasive cardiac procedures.MethodsPatients who underwent various procedures in the cardiac catheterization lab (viz. coronary interventions) were identified using the International Classification of Diseases, Ninth and Tenth Edition, Clinical Modification (International classification of diseases [ICD]‐9‐Clinical modification [CM] and ICD‐10‐CM, respectively) from the Nationwide Inpatient Sample (NIS) database. Patient demographics, presence of comorbidities, PT‐related events, and in‐hospital death were also abstracted from the NIS database.ResultsThe frequency of PT‐related events in the patients undergoing CI from 2010 to 2017 ranged from 3.3% to 8.4%. Combined in‐hospital mortality/morbidity of PT‐related events were higher with increasing age (odds ratio [OR] [95% CI]: chronic total occlusion (CTO) = 1.19 [1.10‐1.29]; acute coronary syndrome (ACS) = 1.21 [1.11‐1.33], both p < 0.0001) and female sex (OR [95%CI]: CTO = 1.70 [1.45‐2.00]; ACS = 1.72 [1.44‐2.06], both p < 0.0001). In‐hospital mortality related to PT‐related events was found to be 8.5% for coronary procedures. In‐hospital mortality was highest amongst the patients undergoing percutaneous transluminal coronary angioplasty (PTCA) for ACS (ACS vs. non‐CTO PTCA vs. CTO PTCA: 15.7% vs. 10.4% and 14.4%, p < 0.0001 and ACS vs. non‐CTO PTCA vs. CTO PTCA: 12.1% vs. 8.1% and 5.6%, p = 0.0001, respectively).ConclusionsIn the real‐world setting, PT‐related events in CI were found to be 3.3%−8.4%, with in‐hospital mortality of 8.5%. The patients undergoing PTCA for ACS were found to have highest mortality. Older patients undergoing CTO PTCA independently predicted higher mortality.

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Pericardial tamponade in coronary interventions: Morbidity and mortality

Deshpande,

Sawatari,

Rangan

et al. 2024

Cathet Cardio Intervent

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Complex Coronary Interventions: Are We Reaching a Plateau?

Abstract: The complexity of coronary artery disease is currently on the rise [...]

Cited by 1 publication

References 20 publications

Pericardial tamponade in coronary interventions: Morbidity and mortality

Pericardial tamponade in coronary interventions: Morbidity and mortality

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