%0 Journal Article
%T Identification, Prevalence, and Outcome of Complex Percutaneous Coronary Intervention (C-PCI)¡ªA Single Center Experience
%A Khaled Leon
%A Mohamed Soleiman
%A Ahmed Kamel
%A Youssry Thakeb
%A Ehab Cherif
%A Bassem Zarif
%J Open Access Library Journal
%V 10
%N 1
%P 1-7
%@ 2333-9721
%D 2023
%I Open Access Library
%R 10.4236/oalib.1109679
%X Introduction: Despite the shift in PCI application, the underlying criteria of complex PCI and its impact on clinical outcomes remain unexplained. Methods: Single-center retrospective observational study of complex PCI characteristics and 1-year outcome. Complex PCI was defined as any of the following: three-vessel disease, bifurcation lesion, left main disease, and moderate to severe calcification by angiography and CTO. Results: The study cohort includes 551 patients who had PCI over a two-month period. 101 (20%) of all patients fulfilled the criteria for complex PCI: 20% have 3VD, 33% have LM disease, 38% have bifurcation, 43% have severe Calcification and 35% have CTO. Combined MACE was more common in C-PCI (40% vs 12.4% <0.001), all individual components were more common in C-PCI (Repeated Revascularization 7.9%Vs 3.7%, P 0.071), Rehospitalization for ACS (1.9% vs 2.2%, p 0.8), Recurrent Angina (9% vs 8%, p 0.071), and HF (7% vs 3.7%, p 0.161). Conclusion: Complex PCI is prevalent in everyday practice (20% of total patients) across all clinical presentations, age groups, and gender. The consequence is dismal.
%K Complex Percutaneous Coronary Intervention (C-PCI)
%U http://www.oalib.com/paper/6787849