In-hospital Outcomes in Patients Undergoing Percutaneous Coronary Intervention in Peri-urban Area Hospital Without Cardiac Surgery Backup

Authors

Keywords:

Cardiac surgery, Percutaneous coronary intervention, Post percutaneous coronary intervention complications

Abstract

Introduction: In centers without cardiac surgery backup, current guidelines recommend to conduct emergency percutaneous coronary intervention and discourage elective percutaneous coronary intervention. The objective of the study was to evaluate the feasibility and safety of percutaneous coronary intervention in patients with stable coronary artery disease, acute coronary syndrome, and ST segment elevation myocardial infarction in periurban area of Nepal without on-site cardiac surgical facilities.

Methods: This retrospective single-centered study was done at College of Medical Sciences, Bharatpur, Nepal. The study included 600 patients who underwent percutaneous coronary intervention in the cardiology department cath lab from January 2014 to March 2020. Patients were evaluated for in-hospital outcomes, procedural success and post percutaneous coronary intervention complications within seven days of hospital stay.

Results: Seventy percent (n=420) of percutaneous coronary intervention was emergency percutaneous coronary intervention for acute coronary syndrome and 30% (n=180) of percutaneous coronary intervention was done as an elective percutaneous coronary intervention for stable angina. Procedural success was 98% (n=176) for elective percutaneous coronary intervention and 93% (n=390) for emergency percutaneous coronary intervention. Sixteen percent (n=96) patients developed acute kidney injury, six percent (n=36) of patients developed pulmonary edema and cardiogenic shock respectively, 2% (n=12) patients developed post percutaneous coronary intervention myocardial infarction, 3% (n=18) patients developed bleeding complications, 0.5% (n=3) patients developed stroke and death rate was 3% (n=18).

Conclusion: Percutaneous coronary intervention can be done with comparable and acceptable safety in peri-urban area hospital of Nepal without cardiac surgery backup with dedicated and experienced team.

Downloads

Download data is not yet available.
Abstract
108

Author Biographies

Manoj Shrestha, College of Medical Sciences, Bharatpur, Chitwan, Nepal

Lecturer, Department of Cardiology

Prakash Aryal, College of Medical Sciences, Bharatpur, Chitwan, Nepal

Lecturer, Department of Internal Medicine

Published

2021-12-30

How to Cite

Shrestha, M., & Aryal, P. (2021). In-hospital Outcomes in Patients Undergoing Percutaneous Coronary Intervention in Peri-urban Area Hospital Without Cardiac Surgery Backup . Journal of Lumbini Medical College, 9(2). Retrieved from https://nepjol.info/index.php/JLMC/article/view/47193

Issue

Vol. 9 No. 2 (2021)

Section

Original Research Articles

License

Copyright (c) 2021 Manoj Shrestha, Prakash Aryal

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

The Journal of Lumbini Medical College (JLMC) publishes open access articles under the terms of the Creative Commons Attribution(CC BY) License which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

JLMC requires an exclusive licence allowing to publish the article in print and online.

The corresponding author should read and agree to the following statement before submission of the manuscript for publication,

License agreement
In submitting an article to Journal of Lumbini Medical College (JLMC) I certify that:

  1. I am authorized by my co-authors to enter into these arrangements.
  2. I warrant, on behalf of myself and my co-authors, that:
    • the article is original, has not been formally published in any other peer-reviewed journal, is not under consideration by any other journal and does not infringe any existing copyright or any other third party rights;
    • I am/we are the sole author(s) of the article and have full authority to enter into this agreement and in granting rights to JLMC are not in breach of any other obligation;
    • the article contains nothing that is unlawful, libellous, or which would, if published, constitute a breach of contract or of confidence or of commitment given to secrecy;
    • I/we have taken due care to ensure the integrity of the article. To my/our - and currently accepted scientific - knowledge all statements contained in it purporting to be facts are true and any formula or instruction contained in the article will not, if followed accurately, cause any injury, illness or damage to the user.
  3. I, and all co-authors, agree that the article, if editorially accepted for publication, shall be licensed under the Creative Commons Attribution License 4.0. If the law requires that the article be published in the public domain, I/we will notify JLMC at the time of submission, and in such cases the article shall be released under the Creative Commons 1.0 Public Domain Dedication waiver. For the avoidance of doubt it is stated that sections 1 and 2 of this license agreement shall apply and prevail regardless of whether the article is published under Creative Commons Attribution License 4.0 or the Creative Commons 1.0 Public Domain Dedication waiver.
  4. I, and all co-authors, agree that, if the article is editorially accepted for publication in JLMC, data included in the article shall be made available under the Creative Commons 1.0 Public Domain Dedication waiver, unless otherwise stated. For the avoidance of doubt it is stated that sections 1, 2, and 3 of this license agreement shall apply and prevail.

Please visit Creative Commons web page for details of the terms.