Pericardial tamponade in coronary interventions: Morbidity and mortality

IF 2.1 3区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Catheterization and Cardiovascular Interventions Pub Date : 2024-09-09 DOI:10.1002/ccd.31213

Saurabh Deshpande DM, Hiroyuki Sawatari PhD, Kapil Rangan DM, Anusha Buchade DM, Raheel Ahmed MRCP, Kamleshun Ramphul MD, Mushood Ahmed MBBS, Mohammed Y. Khanji PhD, Virend K. Somers PhD, Farhan Shahid PhD, Anwar A. Chahal PhD, Deepak Padmanabhan DM

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引用次数: 0

Abstract

Background

Cardiac tamponade or pericardial tamponade (PT) can be a complication following invasive cardiac procedures.

Methods

Patients who underwent various procedures in the cardiac catheterization lab (viz. coronary interventions) were identified using the International Classification of Diseases, Ninth and Tenth Edition, Clinical Modification (International classification of diseases [ICD]-9-Clinical modification [CM] and ICD-10-CM, respectively) from the Nationwide Inpatient Sample (NIS) database. Patient demographics, presence of comorbidities, PT-related events, and in-hospital death were also abstracted from the NIS database.

Results

The frequency of PT-related events in the patients undergoing CI from 2010 to 2017 ranged from 3.3% to 8.4%. Combined in-hospital mortality/morbidity of PT-related events were higher with increasing age (odds ratio [OR] [95% CI]: chronic total occlusion (CTO) = 1.19 [1.10-1.29]; acute coronary syndrome (ACS) = 1.21 [1.11-1.33], both p < 0.0001) and female sex (OR [95%CI]: CTO = 1.70 [1.45-2.00]; ACS = 1.72 [1.44-2.06], both p < 0.0001). In-hospital mortality related to PT-related events was found to be 8.5% for coronary procedures. In-hospital mortality was highest amongst the patients undergoing percutaneous transluminal coronary angioplasty (PTCA) for ACS (ACS vs. non-CTO PTCA vs. CTO PTCA: 15.7% vs. 10.4% and 14.4%, p < 0.0001 and ACS vs. non-CTO PTCA vs. CTO PTCA: 12.1% vs. 8.1% and 5.6%, p = 0.0001, respectively).

Conclusions

In the real-world setting, PT-related events in CI were found to be 3.3%−8.4%, with in-hospital mortality of 8.5%. The patients undergoing PTCA for ACS were found to have highest mortality. Older patients undergoing CTO PTCA independently predicted higher mortality.

查看原文本刊更多论文

冠状动脉介入手术中的心包填塞：发病率和死亡率。

背景：心脏填塞或心包填塞（PT心脏填塞或心包填塞（PT）可能是侵入性心脏手术后的并发症：方法：使用全国住院病人抽样（NIS）数据库中的国际疾病分类第九版和第十版临床修订版（分别为国际疾病分类 [ICD]-9-Clinical modification [CM] 和 ICD-10-CM）对在心导管室接受各种手术（即冠状动脉介入手术）的患者进行识别。此外，还从 NIS 数据库中抽取了患者的人口统计学特征、是否存在合并症、PT 相关事件以及院内死亡等信息：2010年至2017年期间，接受CI治疗的患者发生PT相关事件的频率从3.3%到8.4%不等。随着年龄的增加，PT相关事件的综合院内死亡率/发病率更高（几率比[OR][95% CI]：慢性全闭塞（CTO）=1.19 [1.10-1.29]；急性冠状动脉综合征（ACS）=1.21 [1.11-1.33]，均为P 结论：PT相关事件的综合院内死亡率/发病率更高：在真实世界环境中，发现CI中与PT相关的事件为3.3%-8.4%，院内死亡率为8.5%。因 ACS 而接受 PTCA 的患者死亡率最高。接受CTO PTCA的患者年龄越大，死亡率越高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Catheterization and Cardiovascular Interventions 医学-心血管系统

CiteScore

5.40

自引率

8.70%

发文量

419

审稿时长

2 months

期刊介绍： Catheterization and Cardiovascular Interventions is an international journal covering the broad field of cardiovascular diseases. Subject material includes basic and clinical information that is derived from or related to invasive and interventional coronary or peripheral vascular techniques. The journal focuses on material that will be of immediate practical value to physicians providing patient care in the clinical laboratory setting. To accomplish this, the journal publishes Preliminary Reports and Work In Progress articles that complement the traditional Original Studies, Case Reports, and Comprehensive Reviews. Perspective and insight concerning controversial subjects and evolving technologies are provided regularly through Editorial Commentaries furnished by members of the Editorial Board and other experts. Articles are subject to double-blind peer review and complete editorial evaluation prior to any decision regarding acceptability.