Intervenções percutâneas para revascularização do miocárdio no Brasil em 1996 e 1997 comparadas às do biênio 1992 e 1993. Relatório do registro CENIC (Central Nacional de Intervenções Cardiovasculares)

Sousa, Amanda G. M. R.; Mattos, Luiz Alberto; Neto, Cantídio de Moura Campos; Carvalho, Heitor G.; Stella, Francisco P.; Nunes, Gilberto L.

doi:10.1590/s0066-782x1998000600008

Cited by 18 publications

(17 citation statements)

References 5 publications

(2 reference statements)

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“…In this consecutive series of patients with data collected from 1996 to 1998, we observed that the use of primary coronary angioplasty in acute myocardial infarction regularly accounted for 11% to 13% of the total coronary procedures reported to CENIC 20 . So, in 3,924 patients we could detect the significant exponential growth of stent implantation in acute myocardial infarction, which accounted for 20% of the procedures in 1996 and increased to 49% in 1998.…”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Primary coronary angioplasty and stent implantation in acute myocardial infarction. Comparative analysis of the in-hospital results in the CENIC/SBHCI registry

Mattos¹,

Sousa²,

Neto³

et al. 1999

Arq. Bras. Cardiol.

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Objective -Comparative analysis of the in-hospital results after primary implantation of stents or coronary balloon angioplasty in patients with acute myocardial infarction (MI). Methods -CENIC (National Center of Cardiovascular Interventions) gathered data on 3,924 patients undergoing coronary angioplasty (in the primary form, without the previous use of thrombolytic agents) in the first 24 hours after a MI, during the period of 1996 (6.3% vs. 4.5%, p=0.01), anterior MI and stent implantation in left descending artery (55% vs. 48% vs. p=0.009), and saphenous vein bypass grafts (3.3% vs. 1.9%). the procedure was more succesful in the group of stents (97% vs. 84%, p=0.001) and reinfarction rate (2.5 vs. 4%, p=0.002). The need for emergency revascularization was similar (1% vs. 1.1%, NS). Total in-hospital mortality was lower in stent group (3.4% vs. 7. 2%, p=0.0001) Primary coronary angioplasty is one of the preferred methods of myocardial reperfusion performed without previous use of thrombolytic agents for the treatment of acute myocardial infarction [1][2][3][4][5] . It provides high levels of immediate arterial permeability with TIMI 3 optimal coronary flow 6 . When available, it is comprehensive and offers a significant reduction in the occurrence of major immediate events, such as reinfarction, stroke, and death 3,5 .Results of randomized studies 7,8 , registries 9 , and consecutive series 10 , however, with the application of primary coronary angioplasty in acute myocardial infarction showed loss of immediate and late results in some subgroups of patients. In the in-hospital phase, the number of recurrent ischemias and reinfarctions was higher when suboptimal results were present (residual stenosis >30% and significant coronary dissection); at 6 months, restenosis and reocclusion of the vessel initially treated were as high as 45% and, in 25% of the cases, new myocardial revascularization procedures were performed , 9,10 .Coronary stent implantation in acute myocardial infarction is a recent therapeutical option aiming to optimize immediate and late results [11][12][13][14][15][16][17] , based on evidence observed in elective patients 18,19 .Our aim was to assess the in-hospital results of two techniques of percutaneous coronary revascularization in the acute phase of myocardial infarction: primary coronary stent implantation and conventional primary coronary balloon angioplasty. These two techniques are part of the national registry of procedures, CENIC (National Center of Cardiovascular Interventions), which belongs to the Sociedade Brasileira de Hemodinâmica e Cardiologia Intervencionista -SBHCI

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Section: Discussionmentioning

confidence: 97%

“…These two techniques are part of the national registry of procedures, CENIC (National Center of Cardiovascular Interventions), which belongs to the Sociedade Brasileira de Hemodinâmica e Cardiologia Intervencionista -SBHCI (Brazilian Society of Hemodynamics and Intervention Cardiology) 20 .…”

Section: Primary Coronary Angioplasty and Stent Implantation In Acutementioning

confidence: 99%

Primary coronary angioplasty and stent implantation in acute myocardial infarction. Comparative analysis of the in-hospital results in the CENIC/SBHCI registry

Mattos¹,

Sousa²,

Neto³

et al. 1999

Arq. Bras. Cardiol.

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“…It comprises a database of voluntary contribution from the full members of and applicants to this society accredited to perform PCI, and includes the five Brazilian geographic regions. In addition, its consistency may be verified by consulting previous publications [7][8][9] .…”

Section: Methodsmentioning

confidence: 94%

Acesso radial em intervenções coronarianas percutâneas: panorama atual brasileiro

Andrade

Tebet

Andrade

et al. 2011

Arq. Bras. Cardiol.

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“…A taxa de letalidade para o conjunto de casos de IAM inter-nados em UC foi 17,9%, superior ao padrão de 11,2% estimado para uma UC do tipo mais simples (contando apenas com tecnologias de prevenção e tratamento da parada cardiorrespiratória e aspirina). Entretanto, se são observados, por um lado, tais indícios de baixa efetividade na assistência hospitalar ao IAM no Rio de Janeiro, por outro, já se nota a incorporação de procedimentos terapêuticos de alta complexidade, como a angioplastia primária, também sem controle adequado dos resultados obtidos (Souza et al, 1998). Tais exemplos certamente merecem reflexões da bioética.…”

Section: Bioética Da Avaliação Tecnológicaunclassified

Bioética e avaliação tecnológica em saúde

Schramm

Escosteguy

2000

Cad. Saúde Pública

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Intervenções percutâneas para revascularização do miocárdio no Brasil em 1996 e 1997 comparadas às do biênio 1992 e 1993. Relatório do registro CENIC (Central Nacional de Intervenções Cardiovasculares)

Cited by 18 publications

References 5 publications

Primary coronary angioplasty and stent implantation in acute myocardial infarction. Comparative analysis of the in-hospital results in the CENIC/SBHCI registry

Primary coronary angioplasty and stent implantation in acute myocardial infarction. Comparative analysis of the in-hospital results in the CENIC/SBHCI registry

Acesso radial em intervenções coronarianas percutâneas: panorama atual brasileiro

Bioética e avaliação tecnológica em saúde

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