One-Year Clinical Outcomes in Indian Patients Undergoing Primary Percutaneous Coronary Intervention Without on-Site Surgical Backup

Abstract

BACKGROUND Primary Percutaneous Coronary Intervention (PCI) has emerged as a relatively safe treatment option for acute ST elevation myocardial infarction. However, performing primary PCI at centres without surgical backup has been controversial. To the best of our knowledge, no such data has been available that represents outcomes in Indian population. Thus, this study aims to present one year clinical outcomes in Indian patients undergoing primary PCI without on-site surgical backup. MATERIALS AND METHODS This was a retrospective, single centre, observational study. The study population included 192 patients, who underwent primary PCI from February 2014 to July 2015. The primary endpoint was rate of Major Adverse Cardiac Events (MACE), an agglomerate of cardiac death, myocardial infarction and Target Vessel Revascularisation (TLR) at one year after procedure. RESULTS The mean age of population was 57.2 years where 86.5% were males, 35.4% were diabetics and 22.4% were hypertensives. There were six cardiac deaths at 30-day follow-up and 6 (3.1%) cardiac deaths and 4 (2.1%) events of TLR at one-year follow-up. CONCLUSION In light of these results, it can be concluded that primary PCI can be performed safely at PCI centres without on-site surgical backup, especially in developing countries like India.