Evolution of Australian Percutaneous Coronary Intervention (from the Melbourne Interventional Group [MIG] Registry)

The American Journal of Cardiology
Julian YeohMelbourne Interventional Group

Abstract

Percutaneous coronary intervention (PCI) continues to evolve with shifting patient demographics, treatments, and outcomes. We sought to document the specific changes observed over a 9-year period in a contemporary Australian PCI cohort. The Melbourne Interventional Group is an established multicenter PCI registry in Melbourne, Australia. Data were collected prospectively with 30-day and 12-month follow-ups. Demographic, procedural, and outcome data for all consecutive patients were analyzed with a year-to-year comparison from 2005 to 2013. National Death Index linkage was performed for long-term mortality analysis; 19,858 procedures were captured over 9 years. Patient complexity and acuity increased with a higher proportion of traditional risk factors and more elderly patients who underwent PCI. Angiographic lesion complexity increased with more multivessel coronary artery disease and more American College of Cardiology/American Heart Association type B2/C lesions proceeding to PCI. The 30-day rate of death, myocardial infarction, or target vessel revascularization has not changed nor has 12-month mortality, myocardial infarction, or major adverse cardiovascular event rates. The strongest independent predictor of long-term mort...Continue Reading

Citations

Sep 22, 2018·Diseases of the Colon and Rectum·Rebecca Bei Jia CuiChristopher J Young
Feb 23, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Samer NoamanUNKNOWN Melbourne Interventional Group Investigators
Sep 11, 2019·Journal of Cardiovascular Electrophysiology·Robert D AndersonSaurabh Kumar
May 23, 2019·Current Cardiology Reviews·Romeo-Gabriel Mihăilă
May 19, 2021·Circulation. Cardiovascular Quality and Outcomes·Jennifer ZhouDion Stub

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