Impact of delays to cardiac surgery after failed angioplasty and stenting

Abstract

Approximately one in four patients referred for UCABG would be placed at increased risk of harm if delays to surgery were encountered.

The cost-effectiveness of the Kentucky pilot project of allowing primary PCI at hospitals without onsite CABG capabilities.

“…One key aspect for PCI to be successful is the door-to-balloon time (DTB) (16,(18)(19)(20)(21)(22). This is the length of time between the patient arriving at the emergency facility and the moment the balloon is inflated in the affected segment of a blood vessel.…”

“…After many clinical studies, it has been determined that the DTB should be less than 90 minutes. The reason for this timeframe is that it provided, in multiple clinical trials, lower in-hospital death rates, reduced 30-day mortality rates, shorter average lengths of stay in the hospital, lower rates of reinfarction, and lower rates of reocclusion (18,20,(22)(23)(24).…”