Impact of Previous Percutaneous Coronary Intervention (PCI) on PCI Outcomes in an Urban Center
Document Type
Conference Proceeding
Publication Date
5-2025
Publication Title
Journal of the Society for Cardiovascular Angiography and Interventions
Abstract
Background: Prior percutaneous coronary intervention (PCI) may influence outcomes of subsequent PCI. This study aims to evaluate the impact of previous PCI on procedural outcomes in patients undergoing PCI in an urban center. Methods: A retrospective analysis was conducted, including 2108 patients, 1304 (62%) of whom had a history of prior PCI. Baseline characteristics and procedural outcomes were compared using univariate and multivariate analyses. Results: Patients with previous PCI were more likely to be caucasian (53.77% vs. 36.58%), have hyperlipidemia (91.25% vs. 72.83%), hypertension (96.47% vs. 89.64%), hyperlipidemia (91.25% vs. 72.83%), Diabetes mellitus (53.58% vs. 48.57%) (p=0.03), previous smoking status (39.86% vs. 32.15%) (p=0.001) and a history of peripheral artery disease (28.59% vs. 15.98%). Significant procedural outcomes associated with prior PCI included increased risks of cardiogenic shock (aOR: 2.35, 95% CI: 1.13–4.86, p=0.021) and cardiac arrest (aOR: 2.37, 95% CI: 1.03–5.44, p=0.04). Prior PCI was also associated with a higher risk of major bleeding (aOR: 5.90, 95% CI: 1.96–17.71, p=0.002) and congestive heart failure (aOR: 2.50, 95% CI: 1.24–5.03, p=0.01). Conclusions: Prior PCI significantly increases the risk of adverse outcomes such as cardiogenic shock, cardiac arrest, major bleeding and congestive heart failure during subsequent PCI. These findings underscore the need for tailored management strategies for patients with a history of PCI.
Volume
4
Issue
5 Suppl
First Page
6
Last Page
6
Recommended Citation
Ahmed H, Bahar AR, Akkawi M, Alkhas C, Jawadi MH, Bahar Y, et al. Impact of previous percutaneous coronary intervention (PCI) on PCI outcomes in an urban center. J Soc Cardiovasc Angiogr Interv. 2025 May;4(5 Suppl):6. doi:10.1016/j.jscai.2025.102762
DOI
10.1016/j.jscai.2025.102762
Comments
Society for Cardiovascular Angiography & Interventions SCAI 48th Annual Scientific Sessions, May 1-3, 2025, Washington, DC