Evolution of Australian Percutaneous Coronary Intervention (from the Melbourne Interventional Group [MIG] Registry)
Percutaneous coronary intervention (PCI) continues to evolve with shifting patient demographics, treatments, and outcomes. We sought to document the specific changes observed over a 9-year period in a contemporary Australian PCI cohort. The Melbourne Interventional Group is an established multicente...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Journal Article |
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Excerpta Medica, Inc
2017
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| Online Access: | http://hdl.handle.net/20.500.11937/53819 |
| _version_ | 1848759235799678976 |
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| author | Yeoh, J. Yudi, M. Andrianopoulos, N. Yan, B. Clark, D. Duffy, S. Brennan, A. New, G. Freeman, M. Eccleston, D. Sebastian, M. Reid, Christopher Wilson, W. Ajani, A. |
| author_facet | Yeoh, J. Yudi, M. Andrianopoulos, N. Yan, B. Clark, D. Duffy, S. Brennan, A. New, G. Freeman, M. Eccleston, D. Sebastian, M. Reid, Christopher Wilson, W. Ajani, A. |
| author_sort | Yeoh, J. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Percutaneous coronary intervention (PCI) continues to evolve with shifting patient demographics, treatments, and outcomes. We sought to document the specific changes observed over a 9-year period in a contemporary Australian PCI cohort. The Melbourne Interventional Group is an established multicenter PCI registry in Melbourne, Australia. Data were collected prospectively with 30-day and 12-month follow-ups. Demographic, procedural, and outcome data for all consecutive patients were analyzed with a year-to-year comparison from 2005 to 2013. National Death Index linkage was performed for long-term mortality analysis; 19,858 procedures were captured over 9 years. Patient complexity and acuity increased with a higher proportion of traditional risk factors and more elderly patients who underwent PCI. Angiographic lesion complexity increased with more multivessel coronary artery disease and more American College of Cardiology/American Heart Association type B2/C lesions proceeding to PCI. The 30-day rate of death, myocardial infarction, or target vessel revascularization has not changed nor has 12-month mortality, myocardial infarction, or major adverse cardiovascular event rates. The strongest independent predictor of long-term mortality was cardiogenic shock at presentation (hazard ratio [HR] 2.95, p <0.01). Drug-eluting stent use (HR 0.83, p <0.01) and a history of dyslipidemia (HR 0.81, p <0.01) were associated with long-term survival. In conclusion, from 2005 to 2013, we observed a cohort of higher risk clinical and angiographic characteristics, with stable long-term mortality. |
| first_indexed | 2025-11-14T09:56:40Z |
| format | Journal Article |
| id | curtin-20.500.11937-53819 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:56:40Z |
| publishDate | 2017 |
| publisher | Excerpta Medica, Inc |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-538192017-10-09T04:04:26Z Evolution of Australian Percutaneous Coronary Intervention (from the Melbourne Interventional Group [MIG] Registry) Yeoh, J. Yudi, M. Andrianopoulos, N. Yan, B. Clark, D. Duffy, S. Brennan, A. New, G. Freeman, M. Eccleston, D. Sebastian, M. Reid, Christopher Wilson, W. Ajani, A. Percutaneous coronary intervention (PCI) continues to evolve with shifting patient demographics, treatments, and outcomes. We sought to document the specific changes observed over a 9-year period in a contemporary Australian PCI cohort. The Melbourne Interventional Group is an established multicenter PCI registry in Melbourne, Australia. Data were collected prospectively with 30-day and 12-month follow-ups. Demographic, procedural, and outcome data for all consecutive patients were analyzed with a year-to-year comparison from 2005 to 2013. National Death Index linkage was performed for long-term mortality analysis; 19,858 procedures were captured over 9 years. Patient complexity and acuity increased with a higher proportion of traditional risk factors and more elderly patients who underwent PCI. Angiographic lesion complexity increased with more multivessel coronary artery disease and more American College of Cardiology/American Heart Association type B2/C lesions proceeding to PCI. The 30-day rate of death, myocardial infarction, or target vessel revascularization has not changed nor has 12-month mortality, myocardial infarction, or major adverse cardiovascular event rates. The strongest independent predictor of long-term mortality was cardiogenic shock at presentation (hazard ratio [HR] 2.95, p <0.01). Drug-eluting stent use (HR 0.83, p <0.01) and a history of dyslipidemia (HR 0.81, p <0.01) were associated with long-term survival. In conclusion, from 2005 to 2013, we observed a cohort of higher risk clinical and angiographic characteristics, with stable long-term mortality. 2017 Journal Article http://hdl.handle.net/20.500.11937/53819 10.1016/j.amjcard.2017.03.258 Excerpta Medica, Inc restricted |
| spellingShingle | Yeoh, J. Yudi, M. Andrianopoulos, N. Yan, B. Clark, D. Duffy, S. Brennan, A. New, G. Freeman, M. Eccleston, D. Sebastian, M. Reid, Christopher Wilson, W. Ajani, A. Evolution of Australian Percutaneous Coronary Intervention (from the Melbourne Interventional Group [MIG] Registry) |
| title | Evolution of Australian Percutaneous Coronary Intervention (from the Melbourne Interventional Group [MIG] Registry) |
| title_full | Evolution of Australian Percutaneous Coronary Intervention (from the Melbourne Interventional Group [MIG] Registry) |
| title_fullStr | Evolution of Australian Percutaneous Coronary Intervention (from the Melbourne Interventional Group [MIG] Registry) |
| title_full_unstemmed | Evolution of Australian Percutaneous Coronary Intervention (from the Melbourne Interventional Group [MIG] Registry) |
| title_short | Evolution of Australian Percutaneous Coronary Intervention (from the Melbourne Interventional Group [MIG] Registry) |
| title_sort | evolution of australian percutaneous coronary intervention (from the melbourne interventional group [mig] registry) |
| url | http://hdl.handle.net/20.500.11937/53819 |