Reduction of door-to-balloon time in patients with ST-elevation myocardial infarction by single-catheter primary percutaneous coronary intervention method.

Autor: Lee KH; Cardiology, Tokai University Hospital, Isehara, Kanagawa, Japan., Torii S; Cardiology, Tokai University Hospital, Isehara, Kanagawa, Japan., Oguri M; Cardiology, Kasugai City Hospital, Kasugai, Aichi, Japan., Miyaji T; Cardiology, Hosogi Hospital, Kochi, Japan., Kiyooka T; Cardiology, Tokai University Oiso Hospital, Naka-gun, Kanagawa, Japan., Ono Y; Cardiology, Higashihiroshima Medical Center, Horoshima, Japan., Asada K; Cardiology, Okamura Memorial Hospital, Shizuoka, Japan., Adachi T; Cardiology, Tochigi National Hospital, Tochigi, Japan., Takahashi A; Cardiology, Takahashi Hospital, Kobe, Hyogo, Japan., Ikari Y; Cardiology, Tokai University Hospital, Isehara, Kanagawa, Japan.
Jazyk: angličtina
Zdroj: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2022 Feb; Vol. 99 (2), pp. 314-321. Date of Electronic Publication: 2021 May 31.
DOI: 10.1002/ccd.29797
Abstrakt: Objectives: The objectives of this study is to confirm reduction of door-to-balloon (D2B) time with single-catheter percutaneous coronary intervention (SC-PCI) method.
Background: Reduction of total ischemic time is important in the emergency treatment of ST-elevation myocardial infarction (STEMI). There have been no established methods in primary percutaneous coronary intervention (PCI) to shorten ischemic time via radial access. Ikari left curve was reported as a universal guiding catheter for left and right coronary arteries. Several procedure steps can be skipped by SC-PCI method as the advantage of a universal catheter.
Methods: This study is a retrospective analysis of a total of 1,275 consecutive STEMI cases treated with primary PCI in 14 hospitals. Patients were divided into two groups, SC-PCI method (n = 298) and conventional PCI method (n = 977). Primary endpoints were door-to-balloon (D2B) time and radiation exposure dose.
Results: The mean age was 68 ± 13 years old. Radial access was used in 85% of participants. PCI success was achieved in 99.5% of participants and the SC-PCI method was successfully performed in 92.6%. The D2B time was shorter (68 ± 46 vs. 74 ± 50 min, respectively; p = .02), and the radiation exposure dose was lower (1,664 ± 970 vs. 2008 ± 1,605 mGy, respectively; p < .0001) in the SC-PCI group than in the conventional group.
Conclusion: Primary PCI with SC-PCI method for patients with STEMI demonstrated shorter D2B time and lower radiation exposure dose.
(© 2021 The Authors. Catheterization and Cardiovascular Interventions published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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