Improving Success Rates of Percutaneous Coronary Intervention for Chronic Total Occlusion at a Rural Hospital in East Taiwan
| Autor: | Hung-I Yeh, Jui-Peng Tsai, Wen-Hsiung Lin, Charles Jia-Yin Hou, Kuang-Te Wang, Chun-Yen Chen, Hsiao-Yang Cheng, Yun-Tzy Chen |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment percutaneous coronary intervention Percutaneous coronary intervention Economic shortage lcsh:Geriatrics Coronary angiogram Total occlusion Cardiovascular surgeons Surgery Rural hospital lcsh:RC952-954.6 medicine.anatomical_structure Internal medicine medicine Cardiology Geriatrics and Gerontology business chronic total occlusion Artery |
| Zdroj: | International Journal of Gerontology, Vol 8, Iss 3, Pp 157-161 (2014) |
| ISSN: | 1873-9598 |
| DOI: | 10.1016/j.ijge.2013.12.004 |
| Popis: | Summary Background We aimed to report the results of percutaneous coronary intervention for chronic total occlusion (CTO) in a remote hospital of southeast Taiwan that does not have on-site coronary artery bypass graft support and has insufficient medical resources. Methods From 2006 to 2009, we identified 96 patients who underwent percutaneous coronary intervention and whose coronary angiogram showed CTO lesions. On-site cardiovascular surgeons were unavailable from 2006 to 2009. Results The success rate (test for trend, p = 0.02) and numbers of guidewires used (test for trend, p = 0.59) significantly increased from 2006 to 2009, and the procedural time reduced significantly (test for trend, p = 0.001). The volume of contrast media injected decreased, although this result was not statistically significant ( p = 0.70). Conclusion Our experience in managing CTO lesions substantially improved and the procedural time reduced over 4 years, even when constrained by a relative shortage of medical resources. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|