Reduction of Door-to-balloon Time in Patients with ST-elevation Myocardial Infarction by Single-catheter Primary Percutaneous Coronary Intervention Method

Overview

Journal Catheter Cardiovasc Interv

Specialty Cardiology & Vascular Diseases

Date 2021 May 31

PMID 34057275

Citations 4

Authors

Kyong Hee Lee

Sho Torii

Mitsutoshi Oguri

Tsuyosi Miyaji

Takahiko Kiyooka

Yuujirou Ono

Kouhei Asada

Taichi Adachi

Akihiko Takahashi

Yuji Ikari

Affiliations

Soon will be listed here.

Abstract

Objectives: The objectives of this study is to confirm reduction of door-to-balloon (D2B) time with single-catheter percutaneous coronary intervention (SC-PCI) method.

Background: Reduction of total ischemic time is important in the emergency treatment of ST-elevation myocardial infarction (STEMI). There have been no established methods in primary percutaneous coronary intervention (PCI) to shorten ischemic time via radial access. Ikari left curve was reported as a universal guiding catheter for left and right coronary arteries. Several procedure steps can be skipped by SC-PCI method as the advantage of a universal catheter.

Methods: This study is a retrospective analysis of a total of 1,275 consecutive STEMI cases treated with primary PCI in 14 hospitals. Patients were divided into two groups, SC-PCI method (n = 298) and conventional PCI method (n = 977). Primary endpoints were door-to-balloon (D2B) time and radiation exposure dose.

Results: The mean age was 68 ± 13 years old. Radial access was used in 85% of participants. PCI success was achieved in 99.5% of participants and the SC-PCI method was successfully performed in 92.6%. The D2B time was shorter (68 ± 46 vs. 74 ± 50 min, respectively; p = .02), and the radiation exposure dose was lower (1,664 ± 970 vs. 2008 ± 1,605 mGy, respectively; p < .0001) in the SC-PCI group than in the conventional group.

Conclusion: Primary PCI with SC-PCI method for patients with STEMI demonstrated shorter D2B time and lower radiation exposure dose.

Citing Articles

Acute Ischemic Stroke and Transient Ischemic Attack in ST-Segment Elevation Myocardial Infarction Patients Who Underwent Primary Percutaneous Coronary Intervention.

Murakami T, Sakakura K, Jinnouchi H, Taniguchi Y, Tsukui T, Watanabe Y J Clin Med. 2023; 12(3).

PMID: 36769488 PMC: 9917385. DOI: 10.3390/jcm12030840.

Culprit vessel revascularization first with primary use of a dedicated transradial guiding catheter to reduce door to balloon time in primary percutaneous coronary intervention.

Guo J, Wang G, Li Z, Liu Z, Wang Y, Wang S Front Cardiovasc Med. 2022; 9:1022488.

PMID: 36386357 PMC: 9649753. DOI: 10.3389/fcvm.2022.1022488.

Influencing factors of care dependence in patients with coronary heart disease after percutaneous coronary intervention-A cross-sectional study.

Guo J, Chen Y, Dai Y, Chen Q, Wang X Nurs Open. 2022; 10(1):241-251.

PMID: 35997202 PMC: 9748071. DOI: 10.1002/nop2.1299.

Reduction of door-to-balloon time in patients with ST-elevation myocardial infarction by single-catheter primary percutaneous coronary intervention method.

Lee K, Torii S, Oguri M, Miyaji T, Kiyooka T, Ono Y Catheter Cardiovasc Interv. 2021; 99(2):314-321.

PMID: 34057275 PMC: 9543718. DOI: 10.1002/ccd.29797.

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