Complex Coronary Artery Disease
Conditions
Keywords
Complications, death, major adverse cardiac events, target vessel revascularization
Brief summary
The relative risks for different non-fatal intraprocedural complications during complex percutaneous coronary intervention (PCI) on subsequent mortality have not been described. This study aimed to assess the association between non-fatal intraprocedural complications and late mortality after complex coronary PCI.
Detailed description
Complex coronary lesions include chronic total occlusion, osteal epicardial lesions, long (diffuse) coronary disease, severe calcific lesions, true bifurcation disease, left main coronary lesion, lesions with severe thrombus, and in-stent restenosis. Non-fatal intraprocedural complications included abrupt occlusion, worsening of thrombolysis in myocardial infarction (TIMI) flow grade (TIMI \< 3), major dissection (greater than type B), occurrence of thrombus formation, perforation of the main vessel or side branch, malignant arrhythmias, stroke/transient ischemic attack, and non-coronary major bleeding.
Interventions
None listed
Sponsors
Istanbul Mehmet Akif Ersoy Educational and Training Hospital
Kartal Kosuyolu Yuksek Ihtisas Education and Research Hospital
Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital
Istanbul Training and Research Hospital
Sisli Hamidiye Etfal Training and Research Hospital
Bagcilar Training and Research Hospital
Ankara Etlik City Hospital
Ankara Bilkent Sehir Hastanesi
Bursa City Hospital
Ege University
Kocaeli University
Trakya University
Van Training and Research Hospital
Cigli Regional Training Hospital
Istanbul University - Cerrahpasa
University of Yalova
Bursa Yuksek Ihtisas Training and Research Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Patients with complex coronary disease * Aged 18-85 years
Exclusion criteria
* Patients diagnosed with cardiogenic shock * Coronary lesions with non-complex features * Percutaneous coronary intervention with a bare metal stent * Patient life expectancy \<1 year * Known relevant allergies * Absence of all medical records * Patients with early discontinuation of dual antiplatelet therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Death | up to 60 months | All cause death |
Countries
Turkey (Türkiye)
Outcome results
None listed