Clinical & Experimental Cardiology
Open Access

Abstract

Comparison of Primary Angioplasty Results of a High - Volume Tertiary Center with and without Cardiac Surgery Backup

Candan Mansuroglu*, Ender Ornek, Mustafa Cetin, Emrullah Kiziltunc, Harun Kundi, Ahmet Balun, Murat Gok, Sureyya Huseynova, Burcu Ugurlu and Feridun Vasfi Ulusoy

Objectives: There is a debate about performing primary percutaneos angioplasties (PPA) in patients with acute myocardial infarction (AMI) at hospital without cardiovascular surgery unit.

Methods: Consecutive 88 PPA were made at our hospital before cardiovascular surgery was built. After 88 PPA were done, cardiac surgery facilities started and continue to do and the results of 156 consecutive primary angioplasties were included to the study. The results of PPA’ s with surgery and without surgery were compared for the clinical characteristic, angiographic data, procedure success, cardiac complications, death and the need for surgery.

PA of off - site cardiac and on - site cardiac surgery was compared.

Results: All AMI patients referred to emergency department were included in the study. Patient’s clinical characteristics and angiographic data were similar. Chest pain presentation time was 261 ± 12 min in on-site group an 302 ± 23 min off-site group p = 0.35. Hospital mortality rate was 4.54% in on-site cardiac surgery and 5.12% in off-site cardiac surgery p = 0.44. Procedure success rate was 94.45% on-site cardiac surgery and 94,23% off-site cardiac surgery relatively p value = 0.54 Major cardiovascular events, urgent surgery, stroke, and repeated angioplasty were not observed

Conclusions: Our on-site PA and off-site PA results were similar. Up to now this is the only study in the literature showing the same hospital’s on-site and off-site PPA results. We showed that when rigid programs are established in catheterization laboratory, PPA in AMI can be done effectively and safely in hospitals without cardiac surgery and that way time delays can be prevented in community health.