title: Primary angioplasty in a high-volume tertiary center in Turkey: in-hospital clinical outcomes of 1625 patients.
abstract: OBJECTIVE
  We evaluated in-hospital results of primary percutaneous coronary intervention (PCI) in a high-volume tertiary center.
  
  
  METHODS
  We retrospectively evaluated 1625 patients (1323 males, 302 females; mean age 56.0 ± 11.6 years) who underwent primary PCI for acute ST-elevation myocardial infarction between January 2006 and April 2008. All coronary angiography procedures were performed using the femoral artery route. In-hospital clinical and angiographic results were recorded.
  
  
  RESULTS
  On admission, 23% of the patients had diabetes mellitus, 49.6% had anterior myocardial infarction, and 4.9% had cardiogenic shock. The mean duration of pain was 171.2 ± 121.2 minutes, and the mean door-to-balloon time was 31.6 ± 7.2 minutes. Infarct-related artery was the left anterior descending artery in 49.7%, multivessel disease was present in 40.9%, TIMI 2/3 flow was present in 23.6%, and high-grade thrombus was observed in 66.8%. Primary PCI involved balloon dilatation (5.7%) and stent implantation (94.3%). The incidence of angiographic no-reflow was 11.9%. The mean hospital stay was 5.2 ± 3.3 days. All-cause mortality occurred in 71 patients (4.4%). Other in-hospital events were reinfarction (1.4%), target vessel revascularization (1.9%), hemorrhagic/ischemic stroke (0.6%), stent thrombosis (1.2%), major bleeding (3.8%), blood transfusion (4.8%), heart failure (10.5%), atrial fibrillation (4%), and ventricular tachycardia (3.9%).
  
  
  CONCLUSIONS
  Primary PCI is an effective method in achieving complete revascularization of the infarct-related artery. Successful in-hospital results not only depend on the experience and equipment of the center, but also on how rapidly reperfusion is achieved.
authors.affiliation: Department of Cardiology, Kartal Koşuyolu Heart and Research Hospital, İstanbul, Turkey.
authors.forename: Cevat
authors.initials: C
authors.lastname: Kırma
authors.forename: Vecih
authors.initials: V
authors.lastname: Oduncu
authors.forename: Ali Cevat
authors.initials: AC
authors.lastname: Tanalp
authors.forename: Ayhan
authors.initials: A
authors.lastname: Erkol
authors.forename: Cihan
authors.initials: C
authors.lastname: Dündar
authors.forename: Dicle
authors.initials: D
authors.lastname: Sırma
authors.forename: Kürşat
authors.initials: K
authors.lastname: Tigen
authors.forename: Selçuk
authors.initials: S
authors.lastname: Pala
authors.forename: Akın
authors.initials: A
authors.lastname: Izgi
authors.forename: Muhsin
authors.initials: M
authors.lastname: Türkmen
authors.forename: Hasan
authors.initials: H
authors.lastname: Sunar
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000706:statistics & numerical data*; D017023:Coronary Angiography; D005260:Female; D006761:Hospitals; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000628:therapy*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014421:Turkey / Q000453:epidemiology