Patient Characteristics, Procedural Details, and Outcomes of Contemporary Percutaneous Coronary Intervention in Real-World Practice: Insights from Nationwide Thai PCI Registry
Issued Date
2022-01-01
Resource Type
ISSN
08964327
eISSN
15408183
Scopus ID
2-s2.0-85135154786
Pubmed ID
35935123
Journal Title
Journal of Interventional Cardiology
Volume
2022
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Interventional Cardiology Vol.2022 (2022)
Suggested Citation
Sansanayudh N. Patient Characteristics, Procedural Details, and Outcomes of Contemporary Percutaneous Coronary Intervention in Real-World Practice: Insights from Nationwide Thai PCI Registry. Journal of Interventional Cardiology Vol.2022 (2022). doi:10.1155/2022/5839834 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/86317
Title
Patient Characteristics, Procedural Details, and Outcomes of Contemporary Percutaneous Coronary Intervention in Real-World Practice: Insights from Nationwide Thai PCI Registry
Author(s)
Author's Affiliation
Ramathibodi Hospital
Siriraj Hospital
Chonburi Regional Hospital
Faculty of Medicine, Prince of Songkia University
King Chulalongkorn Memorial Hospital
Khon Kaen University
Faculty of Medicine, Thammasat University
Vichaiyut Hospital
Faculty of Medicine, Srinakharinwirot University
Chiang Mai University
Central Chest Institute of Thailand
Phramongkutklao Hospital
Sunpasitthiprasong Hospital
Buddhachinaraj Phitsanulok Hospital
Phrapokklao Hospital
Udonthani Hospital
Siriraj Hospital
Chonburi Regional Hospital
Faculty of Medicine, Prince of Songkia University
King Chulalongkorn Memorial Hospital
Khon Kaen University
Faculty of Medicine, Thammasat University
Vichaiyut Hospital
Faculty of Medicine, Srinakharinwirot University
Chiang Mai University
Central Chest Institute of Thailand
Phramongkutklao Hospital
Sunpasitthiprasong Hospital
Buddhachinaraj Phitsanulok Hospital
Phrapokklao Hospital
Udonthani Hospital
Other Contributor(s)
Abstract
Background. Percutaneous coronary intervention (PCI) practice and outcomes vary substantially in different parts of the world. The contemporary data of PCI in Asia are limited and only available from developed Asian countries. Objectives. To explore the pattern of practice and results of PCI procedures in Thailand as well as a temporal change of PCI practice over time compared with the registry from other countries. Methods. Thai PCI Registry is a prospective nationwide registry that was an initiative of the Cardiac Intervention Association of Thailand (CIAT). All cardiac catheterization laboratories in Thailand were invited to participate during 2018-2019, and consecutive PCI patients were enrolled and followed up for 1 year. Patient baseline characteristics, procedural details, equipment and medication use, outcomes, and complications were recorded. Results. Among the 39 hospitals participated, there were 22,741 patients included in this registry. Their mean age (standard deviation) was 64.2 (11.7) years and about 70% were males. The most common presentation was acute coronary syndrome (57%) with a high proportion of ST-elevation myocardial infarction (28%). Nearly two-thirds of patients had multivessel disease and significant left main stenosis was reported in 11%. The transradial approach was used in 44.2%. The procedural success rate was very high (95.2%) despite the high complexity of the lesions (56.9% type C lesion). The incidence of procedural complications was 5.3% and in-hospital mortality was 2.8%. Conclusion. Thai PCI Registry provides further insights into the current practice and outcomes of PCI in Southeast Asia. The success rate was very high, and the complications were very low despite the high complexity of the treated lesions.