Percutaneous Coronary Intervention in Ibn Al-Bitar Hospital; Acute in-Hospital Outcome

Abstract

Background: The term “angina pectoris” was introduced by Heberden in 1772 to describe a syndrome the commonest etiology is atheromatous coronary artery disease. The terms “chronic” and “stable” refer to anginal symptoms that have been present for at least several weeks without major deterioration. Objective: The study was designed to evaluate the acute in-hospital outcomes of PCI in Ibn-Al- Bitar hospital for cardiac surgery. Patients and method: It was a prospective and observational study. All patients who underwent PCIs in Ibn- AL-Bitar hospital for cardiac surgery from the seventeenth of July 2008 to the eighteenth of November 2021 were included in this study. Baseline characteristics were collected from each patient by direct questionnaire and case records various investigations were recorded. The incidence of procedural complications, which included angiographic complications and adverse clinical outcomes (Death, MI, and need for emergency CABG) during hospitalization, was recorded. Results and Discussion: There were 213 patients, 184 (86.4%) of them were men, and 29 (13.6%) were women. The lesions were 411 critical and 13 were intermediate lesions, 415 (97.6%) were de novo lesions, and 9 (2.4%) were due to in-stent restenosis (ISR). The majority of procedures were elective PCI [203 patients out of 213 (95.3 %)], while Adhoc PCI was done in 10 patients out of a total of 213 (4.7 %). The angiographic success rate in non-totally occluded lesions was 99.5%, while in totally occluded lesions was 68.2%. The majority of patients had a smoothin–hospital course, with One patient had acute stent thrombosis leading to nonfatal Q-wave infarction, and one patient died twenty hours after the procedure, but there were no urgent surgical revascularization procedures during a hospital stay. The procedural success rate in non-totally occluded lesions is 98.5%, while in totally occluded lesions is 68.2%. Conclusion: PCI is a safe and effective modality in treating CAD, with excellent acute results and negligible major cardiac events during in hospital post-procedural period prior to discharge