MedStar Authors catalog › Details for: Outcomes of nonemergent percutaneous coronary intervention requiring mechanical circulatory support in patients without cardiogenic shock.
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Outcomes of nonemergent percutaneous coronary intervention requiring mechanical circulatory support in patients without cardiogenic shock.

by Moussa Pacha, Homam; Soud, Mohamad.
Citation: ; Catheterization & Cardiovascular Interventions. 95(3):503-512, 2020 02 15..Journal: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.Published: ; 2020; ; ISSN: 1522-1946.Full author list: Alaswad K; Al-Khadra Y; Alraies MC; Darmoch F; Grines CL; Kaki A; Kapadia S; Kwok CS; Mamas M; Meraj P; Pacha HM; Rab T; Soud M.UI/PMID: 31254325.Subject(s): Age Factors | *Ventricular Function | United States | Treatment Outcome | Time Factors | Risk Factors | Risk Assessment | Retrospective Studies | Recovery of Function | *Percutaneous Coronary Intervention | Percutaneous Coronary Intervention/mo [Mortality] | Percutaneous Coronary Intervention/ae [Adverse Effects] | Middle Aged | Male | *Intra-Aortic Balloon Pumping | Intra-Aortic Balloon Pumping/mo [Mortality] | Intra-Aortic Balloon Pumping/ae [Adverse Effects] | Humans | *Heart-Assist Devices | Female | Databases, Factual | *Coronary Artery Disease/th [Therapy] | Coronary Artery Disease/pp [Physiopathology] | Coronary Artery Disease/mo [Mortality] | Coronary Artery Disease/di [Diagnosis] | Comorbidity | Aged, 80 and over | AgedInstitution(s): MedStar Washington Hospital CenterDepartment(s): Medicine/Internal MedicineActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access online Digital Object Identifier: https://dx.doi.org/10.1002/ccd.28383 (Click here) Abbreviated citation: ; Catheter Cardiovasc Interv. 95(3):503-512, 2020 02 15.Local Holdings: Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006.Abstract: BACKGROUND: The utilization of mechanical circulatory support (MCS) for percutaneous coronary intervention (PCI) using percutaneous ventricular assist device (PVAD) or intra-aortic balloon pump (IABP) has been increasing. We sought to evaluate the outcome of coronary intervention using PVAD compared with IABP in noncardiogenic shock and nonacute myocardial infarction patients.Abstract: CONCLUSION: Despite higher comorbidities, nonemergent PCI procedures using PVAD were associated with lower mortality compared with IABP.Abstract: Copyright (c) 2019 Wiley Periodicals, Inc.Abstract: METHOD: Using the National Inpatient Sampling (NIS) database from 2005 to 2014, we identified patients who underwent PCI using ICD 9 codes. Patients with cardiogenic shock, acute coronary syndrome, or acute myocardial infarction were excluded. Patient was stratified based on the MCS used, either to PVAD or IABP. Univariate and multivariate logistic regression were performed to study PCI outcome using PVAD compared with IABP.Abstract: RESULTS: Out of 21,848 patients who underwent PCI requiring MCS, 17,270 (79.0%) patients received IABP and 4,578 (21%) patients received PVAD. PVAD patients were older (69 vs. 67, p < .001), were less likely to be women (23.3% vs. 33.3%, p < .001), and had higher rates of hypertension, diabetes, hyperlipidemia prior PCI, prior coronary artery bypass graft surgery, anemia, chronic lung disease, liver disease, renal failure, and peripheral vascular disease compared with IABP group (p <= .007). Using Multivariate logistic regression, PVAD patients had lower in-hospital mortality (6.1% vs. 8.8%, adjusted odds ratio [aOR] 0.62; 95% CI 0.51, 0.77, p < .001), vascular complications (4.3% vs. 7.5%, aOR 0.78; 95% CI 0.62, 0.99, p = .046), cardiac complications (5.6% vs. 14.5%, aOR 0.29; 95% CI 0.24, 0.36, p < .001), and respiratory complications (3.8% vs. 9.8%, aOR 0.37; 95% CI 0.28, 0.48, p < .001) compared with patients who received IABP.

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