Tag: PCI

1. In this prespecified secondary analysis of a randomized controlled trial, patients with acute coronary syndrome (ACS) who received a loading dose of atorvastatin prior to percutaneous coronary intervention (PCI) and again 24 hours post-PCI had lower rates of major adverse cardiovascular events at 30 days compared with patients...
In this section, we highlight the key high-impact studies, updates, and analyses published in medicine during the past week. Age of Transfused Blood in Critically Ill Adults Whether the administration of fresh red blood cells instead of red blood cells that have been stored for a period of time improves outcomes...
1. Based on data from the Acute Coronary Treatment and Intervention Outcomes Network Registry–Get With the Guidelines (ACTION Registry-GWTG), only one-half of all patients who required transfer for STEMI received primary percutaneous coronary intervention (pPCI) within 120 minutes. As the drive time increased to between 30 and 120 minutes,...
1. Patients with STEMI who underwent coronary artery thrombus aspiration before PCI did not have a significant reduction in mortality at 1 year of follow up. 2. Patients with STEMI who underwent thrombus aspiration before PCI did not have a significant reduction in the incidence of the composite of...
1. Rates of procedural complications, one-year mortality, and myocardial infarction were equivalent between individuals undergoing coronary angioplasty at facilities with and without on-site cardiothoracic surgery. 2. Patients undergoing coronary angioplasty at facilities without on-site cardiothoracic surgery were at a higher risk for subsequent unplanned revascularization within one year of...
1. Roughly one quarter of patients who received elective coronary angiography were asymptomatic.  2. Hospitals with higher rates of elective angiography in asymptomatic patients also had higher rates of inappropriate intervention (such as stent deployment), which suggesting that coronary angiography selection was associated with the appropriateness of coronary intervention.  Evidence Rating Level: 2...
Image: PD 1. The overall red blood cell transfusion rate among 1,431 US hospitals was 2.14%. 2. Blood transfusions in percutaneous coronary intervention patients was associated with increased risk of in-hospital events such as myocardial infarction, stroke and death. Evidence Rating Level: 2 (Good)  Study Rundown: Patients receive red blood cell transfusions for...
Image: PD 1. The composite outcome of death, myocardial infarction, stroke, and non-CABG-related major bleeding did not differ between radial and femoral access for percutaneous coronary intervention 2. Radial artery access is associated with a significantly lower rate of vascular complications compared to femoral access Original Date of Publication: April 23, 2011 Study...
Image: PD 1. For patients undergoing percutaneous coronary intervention (PCI), vascular closure devices (VCDs) were associated with an overall reduction of vascular complications such as hematomas, pseudoaneurysms and need for transfusions.  This benefit was counterbalanced by an increased risk of retroperitoneal bleeding.  2. The reductions in vascular complications associated with VCDs...
Image: PD In this section, we will highlight the key high-impact studies, updates, and analyses published in medicine during the past week. Non-publication of large randomized clinical trials: cross sectional analysis Efforts, including the listing of industry affiliations and the listing of trials on clinicaltrials.gov, have been made to improve the transparency...