title: Similar outcome of ST-elevation myocardial  infarction patients treated with primary  percutaneous coronary intervention regardless  of presence of cardiac surgery on-site.
abstract: BACKGROUND
  The growing penetration of mechanical reperfusion in ST-elevation myocardial infarction (STEMI) has been achieved by the creation of new percutaneous coronary intervention (PCI) centres which have helped to shorten delays but have compromised PCI volumes.
  
  
  OBJECTIVE
  To compare the outcomes in STEMI patients treated in PCI centres with or without surgical back-up.
  
  
  METHODS
  Data concerning 1,650 registry patients was analysed. The analysis was based on cathlab classification with cardiac surgery on site (n = 996) and without (n = 654).
  
  
  RESULTS
  There was a 0.3% rate of transfer (two patients out of 654) for urgent coronary artery bypass grafting from PCI centres without cardiac surgery on site. There were no differences in in-hospital and long-term mortality in patients in both studied groups.
  
  
  CONCLUSIONS
  No differences in short and long-term outcomes were noticed for STEMI patients treated in centres with or without cardiac surgery on-site.
authors.forename: Jacek
authors.initials: J
authors.lastname: Legutko
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Siudak
authors.forename: Stanisław
authors.initials: S
authors.lastname: Bartuś
authors.forename: Artur
authors.initials: A
authors.lastname: Dziewierz
authors.forename: Magnus
authors.initials: M
authors.lastname: Janzon
authors.forename: Ralf
authors.initials: R
authors.lastname: Birkemeyer
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Zmudka
authors.forename: Dariusz
authors.initials: D
authors.lastname: Dudek
mesh_terms: D000328:Adult; D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000401:mortality; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality* / Q000601:surgery / Q000628:therapy*; D062645:Percutaneous Coronary Intervention / Q000401:mortality*; D012042:Registries; D016896:Treatment Outcome