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Verfasst von:Werner, Nicolas [VerfasserIn]   i
 Bauer, Timm [VerfasserIn]   i
 Hochadel, Matthias [VerfasserIn]   i
 Zahn, Ralf [VerfasserIn]   i
 Weidinger, Franz [VerfasserIn]   i
 Marco, Jean [VerfasserIn]   i
 Hamm, Christian [VerfasserIn]   i
 Gitt, Anselm Kai [VerfasserIn]   i
 Zeymer, Uwe [VerfasserIn]   i
Titel:Incidence and clinical impact of stroke complicating percutaneous coronary intervention
Verf.angabe:Nicolas Werner, Timm Bauer, Matthias Hochadel, Ralf Zahn, Franz Weidinger, Jean Marco, Christian Hamm, Anselm K. Gitt, and Uwe Zeymer
E-Jahr:2013
Jahr:30 Jul 2013
Umfang:8 S.
Fussnoten:Gesehen am 04.11.2021
Titel Quelle:Enthalten in: Circulation. Cardiovascular interventions
Ort Quelle:Philadelphia, Pa. : Lippincott, Williams & Wilkins, 2008
Jahr Quelle:2013
Band/Heft Quelle:6(2013), 4, Seite 362-369
ISSN Quelle:1941-7632
Abstract:Background: Stroke is a rare but serious complication of percutaneous coronary interventions (PCIs). So far, scant information is available about the incidence and outcome of patients developing stroke after PCI for stable angina or acute coronary syndrome (ACS) in daily clinical practice in Europe today. - Methods and Results: Between 2005 and 2008, 46 888 patients undergoing PCI were enrolled into the PCI Registry of the Euro Heart Survey Programme (176 centers in 33 European countries) to document patient’s characteristics, PCI details, and hospital complications in different PCI indications. Stroke was observed in 0.4% of the procedures in the total population, in 0.3% of PCIs in elective patients, and in 0.6% in PCIs performed for ACS. The overall in-hospital mortality was 19.2% for patients who developed stroke (elective PCIs, 10.0%; PCI for ACS, 23.2%) compared with 1.3% for those without stroke (elective PCIs, 0.2%; PCI for ACS, 2.3%). In multivariate analysis hemodynamic instability, age ≥75 years, history of stroke, and congestive heart failure were found to be independent predictors for periprocedural stroke in ACS, whereas only PCI of a bypass graft and renal failure could be identified as independent predictors for stroke in elective patients. - Conclusions: Stroke as complication of PCI occurs rarely (0.4%) in clinical practice in Europe today. However, peri-interventional stroke is still associated with an exceedingly high in-hospital mortality rate. Most predictors for periprocedural stroke are not modifiable and cannot be diminished before PCI. Therefore, treatment of patients with stroke after PCI needs further research.
DOI:doi:10.1161/CIRCINTERVENTIONS.112.000170
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1161/CIRCINTERVENTIONS.112.000170
 Volltext: https://www.ahajournals.org/doi/10.1161/CIRCINTERVENTIONS.112.000170
 DOI: https://doi.org/10.1161/CIRCINTERVENTIONS.112.000170
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:percutaneous coronary intervention
 stroke
K10plus-PPN:1776169115
Verknüpfungen:→ Zeitschrift

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