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Demographics and Outcomes of Percutaneous Coronary Intervention in Thailand: Data from Thai Percutaneous Coronary Intervention Registry

Rungroj Krittayaphong MD*1, Sarana Boonbaichaiyapruck MD*2, Songsak Kiatchoosakun MD*3, Chumpol Piamsomboon MD*4, Chunhakasem Chotinaiwattarakul MD*5, Rapeephon Kunjara-Na-Ayudhya MD*6, Suphot Srimahachota MD*7, Wacin Buddhari MD*7, Pravit Tanprasert MD*4, Damras Tresukosol MD*1, for TPCIR group

Affiliation : *1 Division of Cardiology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand *2 Division of Cardiology, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand *3 Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand *4 Phramongkutklao College of Medicine, Bangkok, Thailand *5 Her Majesty’s Cardiac Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand *6 Vichaiyut Hospital, Bangkok, Thailand *7 Division of Cardiovascular Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

Background : Percutaneous coronary intervention (PCI) has been and continues to be standard treatment in patients with coronary artery disease. The data for demographic and outcomes in Thailand are limited.
Objective : To study data and characteristics relating to patients, the procedure, and outcomes of percutaneous coronary intervention in the Thai population. Material and Method: The Thai Percutaneous Coronary Intervention Registry (TPCIR) was established in 2006, consisting of 27 hospitals in Thailand that perform the PCI procedure. All patients who underwent PCI between May 2006 and October 2006 in participating hospitals were asked to participate in this registry. Data was recorded in case record form and then entered into the web-based registry. Key variables include demographic data, risk factors, indications for PCI, outcomes, and complications.
Results : Four thousand one hundred fifty six patients were enrolled; 69.2% were male. Average age of PCI patients was 62.7 years. Indications for PCI were ST segment elevation myocardial infarction (14%), Non-ST segment elevation acute coronary syndrome (37.3%), and stable coronary artery disease (48.7%). PCI was successfully performed in 92.5% of lesions or 89.6% of cases with in-hospital complications reported in 12% of cases.
Conclusion : This was the first nationwide multi-center study of PCI in Thailand. The overall PCI procedure success rate was 92.5%.

Keywords : Percutaneous coronary intervention, Thailand, Coronary artery disease, Acute coronary syndrome


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JMed Assoc Thai
MEDICAL ASSOCIATION OF THAILAND
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