In-Hospital Outcomes of Percutaneous Coronary Interventions in Type C Lesions: CENIC Registry

Osugue, Raphael Kazuo; Esteves, Vinícius; Pipolo, Arthur; Ramos, Daniel Silva; Massih, Cristiano Abdel; Solorzono, Ulises A.; Maldonado, Galo; Esteves, César A.

doi:10.1016/s0104-1843(12)50011-1

Cited by 2 publications

(4 citation statements)

References 8 publications

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“…There was a predominance of males in the sample, confirming statistics from the National Center for Cardiovascular Interventions (NCCI), 11 12,13 which corroborates this study.…”

Section: Methods Introductionsupporting

confidence: 86%

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Intervenção percutânea por via radial e tempo de permanência hospitalar

Oliveira

Pimenta

Ximenes

et al. 2018

Rev enferm UFPE on line.

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RESUMOObjetivo: analisar os fatores de risco relacionados ao procedimento percutâneo por via radial e o tempo de permanência hospitalar. Método: estudo quantitativo, longitudinal, prospectivo, descritivo e unicêntrico. A coleta de dados foi realizada por meio de questionário, com 100 pacientes, em três fases (pré-procedimento, transprocedimento e pós-procedimento), em 24h e após sete dias. Para as variáveis quantitativas, foram utilizados os testes Mann-Whitnney ou t de Student; para as qualitativas, o teste exato de Fisher. Para a associação entre duas variáveis quantitativas, foi utilizado o coeficiente de correlação de Pearson com nível de significância ≤5%. Resultados: 100 pacientes realizaram o procedimento com média de internação de 6,6 dias. Após a associação entre o tempo de permanência e as variáveis clínicas, o p não mostrou valor significante. Conclusão: os resultados aproximam-se mais da realidade dos hospitais do Sistema Único de Saúde; não houve linearidade no tempo de permanência hospitalar quando associado a diferentes fatores relacionados à intervenção percutânea. Descritores: Intervenção Coronária Percutânea; Tempo de Internação; Artéria Radial; Sistema Único de Saúde; Síndrome Coronária Aguda; Fatores de Risco.ABSTRACTObjective: to analyze the risk factors related to the percutaneous radial procedure and length of hospital stay. Method: quantitative, longitudinal, prospective, descriptive and unicentric study. Data was collected through a questionnaire, with 100 patients, in three phases (pre-procedure, transprocedure and post-procedure), in 24 hours and after seven days. For the quantitative variables, the Mann-Whitnney or Student's t tests were used; for the qualitative, Fisher's exact test. For the association between two quantitative variables, the Pearson correlation coefficient was used with significance level ≤5%. Results: 100 patients had the procedure with mean hospitalization of 6.6 days. After the association between the length of stay and clinical variables, p did not show significant value. Conclusion: the results are closer to the reality of the hospitals of the Unified Health System; there was no linearity in the length of hospital stay when associated with different factors related to the percutaneous intervention. Descriptors: Percutaneous Coronary Intervention; Length of hospitalization; Radial Artery; Unified Health System; Acute Coronary Syndrome; Risk Factors.RESUMEN Objetivo: analizar los factores de riesgo relacionados con el procedimiento percutáneo por vía radial y el tiempo de permanencia hospitalaria. Método: Estudio cuantitativo, longitudinal, prospectivo, descriptivo y unicéntrico. La recolección de datos fue realizada por medio de un cuestionario, con 100 pacientes, en tres fases: (pre-procedimiento, transprocedimiento y post-procedimiento), en 24h y después de siete días. Para las variables cuantitativas, se utilizaron las pruebas Mann-Whitnney o t de Student; para las cualitativas, la prueba exacta de Fisher. Para la asociación entre dos variables cuantitativas, se utilizó el coeficiente de correlación de Pearson con nivel de significancia ≤5 %%. Resultados: 100 pacientes realizaron el procedimiento, con promedio de internación de 6,6 días. Después de la asociación entre el tiempo de permanencia y las variables clínicas, el p no mostró valor significativo. Conclusión: los resultados se acercaron más a la realidad de los hospitales del Sistema Único de Salud; no hubo linealidad en el tiempo de permanencia hospitalaria, cuando asociado a diferentes factores relacionados a la intervención percutánea. Descriptores: Intervención Coronaria Percutánea; Tiempo de Internación; Arteria Radial; Sistema Único de Salud; Síndrome Coronária Aguda; Factores de Riesgo.

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“…There was a predominance of males in the sample, confirming statistics from the National Center for Cardiovascular Interventions (NCCI), 11 12,13 which corroborates this study.…”

Section: Methods Introductionsupporting

confidence: 86%

“…27 National study indicated an average ten-day hospital stay for AMI patients. 12 The time of hospital stay for the performance of PCI in UHS hospitals, one of the largest public systems in the world, is, on average, five days, 10,11 lower values than those found in this study.…”

Section: Methods Introductioncontrasting

confidence: 75%

Intervenção percutânea por via radial e tempo de permanência hospitalar

Oliveira

Pimenta

Ximenes

et al. 2018

Rev enferm UFPE on line.

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“…This fact is relevant, as most PCIs were performed in type B2/C lesions, as in the real world. 4 Considering that many patients were obese, 19 a known predictor of increased exposure, overexposure can be even greater. It is therefore essential that professionals take that into consideration and minimize radiation exposure during radiological assessment.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to the progressive increase in the number of interventions, procedure complexity has also increased. 2,3 Interventions in complex lesions 4 involve greater technical difficulty, which results in higher costs, contrast volume, procedure time, and radiation exposure. [5][6][7] Recent studies have demonstrated that many percutaneous coronary interventions (PCIs) exceed the dose of 2 Gy, the threshold for development of skin lesions.…”

Section: Impacto Das Lesões Complexas Na Exposição Radiológica Durantmentioning

confidence: 99%

Impacto das lesões complexas na exposição radiológica durante intervenção coronária percutânea

Azevedo¹,

Gomes²,

Yordi³

et al. 2013

Rev. Bras. Cardiol. Invasiva

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background: Percutaneous coronary interventions (PCIs) in complex lesions are increasingly common in daily practice. The objective of this study was to determine the impact of complex lesions on radiological exposure during PCI. Methods: Prospective cohort study including patients undergoing PCI between August 2010 and December 2011. Clinical, angiographic and radiation exposure characteristics were recorded in a dedicated database. Patterns of radiation exposure (total dose received, fluoroscopy time and dose-area product) were determined in patients undergoing PCI for non complex (A/B1) and complex (B2/C) lesions. Data were analyzed by the SPSS 18.0 program. Independent radiation exposure predictors were determined by multiple logistic regression. Results: We analyzed 413 PCIs, 83 lesions in group A/B1 and 330 in group B2/C. There were no clinically significant differences between groups. The median radiation dose received by patients was significantly higher in group B2/C (1,103.9 mGy vs 866.6 mGy; P < 0.01). The dose-area product (43,484 mGy.cm² vs 58,327 mGy.cm²; P < 0.001) and fluoroscopy time (9 ± 6 minutes vs 12.1 ± 9.5 minutes; P = 0.001) were also significantly higher in group B2/C. Predictors of increased radiation exposure were weight [odds ratio (OR) 1.02 for each increase of 1 kg, confidence interval (CI) 1.01-1.036; P = 0.004], type B2/C lesion (OR 1.9, CI 1.002-4.96; P = 0.002). Conclusions: Patients undergoing PCI in complex lesions are significantly more exposed to radiation. Weight and lesion type (B2/C) are predictors of increased radiation exposure.

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In-Hospital Outcomes of Percutaneous Coronary Interventions in Type C Lesions: CENIC Registry

Cited by 2 publications

References 8 publications

Intervenção percutânea por via radial e tempo de permanência hospitalar

Intervenção percutânea por via radial e tempo de permanência hospitalar

Impacto das lesões complexas na exposição radiológica durante intervenção coronária percutânea

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