Coronary artery diseaseIncidence and Predictors of Stroke Associated With Percutaneous Coronary Intervention
Section snippets
Methods
Data collection and analysis within the NCDR have been previously described.7, 8 The NCDR, cosponsored by the American College of Cardiology and the Society for Cardiovascular Angiography and Intervention, collects clinical data of percutaneous coronary procedures from facilities across the United States into a common database that provides institutions with the ability to benchmark their care. Only institutions with submissions passing the inclusion and exclusion criteria for data completeness
Results
Of the 706,782 patients who underwent PCI from 637 hospitals, 0.22% of patients developed an in-hospital stroke (n = 1,540) and 99.78% of patients did not develop a stroke (n = 705,242).
Patients who developed a stroke after PCI were more likely to be older, women, underweight, and have greater prevalence of diabetes mellitus and hypertension compared with patients who did not develop a stroke (Table 1). There was greater incidence of heart failure, known cerebrovascular disease (previous
Discussion
In this largest cohort analysis of patients who develop an in-hospital stroke in association with PCI, we demonstrated that stroke is a rare but devastating complication with high in-hospital mortality. The incidence of stroke in this analysis is a little lower than that previously reported.2, 3, 4 Consistent with previous studies, we observed that known cerebrovascular disease and presence of systemic arterial hypertension were independent risk factors for development of stroke in association
References (16)
- et al.
Stroke complicating percutaneous coronary revascularization
Am J Cardiol
(1993) - et al.
Characteristics of cerebrovascular accidents after percutaneous coronary interventions
J Am Coll Cardiol
(2004) - et al.
Risk of catheter-related emboli in patients with atherosclerotic debris in the thoracic aorta
Am Heart J
(1996) - et al.
Building a national clinical data repository
J Am Coll Cardiol
(2001) - et al.
A prospective, randomized evaluation of prophylactic intraaortic balloon counterpulsation in high risk patients with acute myocardial infarction treated with primary angioplastySecond Primary Angioplasty in Myocardial Infarction (PAMI-II) Trial Investigators
J Am Coll Cardiol
(1997) - et al.
Stroke after percutaneous coronary interventions
J Am Coll Cardiol
(2004) - et al.
Neurologic complications of cardiac catheterization
Neurology
(1977) - et al.
Stroke complicating percutaneous coronary interventions: incidence, predictors, and prognostic implications
Circulation
(2002)
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