"Impact of Previous Percutaneous Coronary Intervention (PCI) on PCI Out" by Haffezuddin Ahmed, Abdul Rasheed Bahar et al.
 

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

Comments

Society for Cardiovascular Angiography & Interventions SCAI 48th Annual Scientific Sessions, May 1-3, 2025, Washington, DC

Last Page

6

DOI

10.1016/j.jscai.2025.102762

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