Evolution of Australian Percutaneous Coronary Intervention (from the Melbourne Interventional Group [MIG] Registry)

Yeoh, J, Andrianopoulos, N, Yan, BP, Clark, DJ, Duffy, SJ, Brennan, A, New, G, Yudi, MB, Freeman, M, Eccleston, D, Sebastian, M, Reid, CM, Wilson, W, Ajani, AE, Reid, C, Oqueli, E, Shaw, JA, Walton, A, Dart, A, Broughton, A, Federman, J, Keighley, C, Hengel, C, Peter, KH, Stub, D, Chan, W, Nanayakkara, S, O'Brien, J, Selkrig, L, Rankin, K, Huntington, R, Pally, S, Clark, DJ, Farouque, O, Horrigan, M, Johns, J, Oliver, L, Brennan, J, Chan, R, Proimos, G, Dortimer, T, Chan, B, Huq, R, Fernando, D, Charter, K, Brown, L, AlFiadh, A, Ramchand, J, Picardo, S, Sharma, A, Ryan, N, Harrison, T, Barry, C, Roberts, L, Teh, A, Rowe, M, Cheong, Y, Goods, C, Baradi, A, Jackson, D, Sajeev, J, Yip, T, Mok, M, Jaworski, C, Hutchison, A, Turner, M, Khialani, B, Dyson, J, McDonald, B, Duff, L, Chand, V, Dinh, D, Warren, R, Lefkovits, J, Iyer, R, Gurvitch, R, Brooks, M, Biswas, S and Hiew, Chin 2017, Evolution of Australian Percutaneous Coronary Intervention (from the Melbourne Interventional Group [MIG] Registry), American Journal of Cardiology, vol. 120, no. 1, pp. 47-54, doi: 10.1016/j.amjcard.2017.03.258.

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Title Evolution of Australian Percutaneous Coronary Intervention (from the Melbourne Interventional Group [MIG] Registry)
Author(s) Yeoh, J
Andrianopoulos, N
Yan, BP
Clark, DJ
Duffy, SJ
Brennan, A
New, G
Yudi, MB
Freeman, M
Eccleston, D
Sebastian, M
Reid, CM
Wilson, W
Ajani, AE
Reid, C
Oqueli, E
Shaw, JA
Walton, A
Dart, A
Broughton, A
Federman, J
Keighley, C
Hengel, C
Peter, KH
Stub, D
Chan, W
Nanayakkara, S
O'Brien, J
Selkrig, L
Rankin, K
Huntington, R
Pally, S
Clark, DJ
Farouque, O
Horrigan, M
Johns, J
Oliver, L
Brennan, J
Chan, R
Proimos, G
Dortimer, T
Chan, B
Huq, R
Fernando, D
Charter, K
Brown, L
AlFiadh, A
Ramchand, J
Picardo, S
Sharma, A
Ryan, N
Harrison, T
Barry, C
Roberts, L
Teh, A
Rowe, M
Cheong, Y
Goods, C
Baradi, A
Jackson, D
Sajeev, J
Yip, T
Mok, M
Jaworski, C
Hutchison, A
Turner, M
Khialani, B
Dyson, J
McDonald, B
Duff, L
Chand, V
Dinh, D
Warren, R
Lefkovits, J
Iyer, R
Gurvitch, R
Brooks, M
Biswas, S
Hiew, Chin
Journal name American Journal of Cardiology
Volume number 120
Issue number 1
Start page 47
End page 54
Total pages 8
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2017-07-01
ISSN 0002-9149
Keyword(s) Melbourne Interventional Group
Summary Percutaneous coronary intervention (PCI) continues to evolve with shifting patient demographics, treatments, and outcomes. We sought to document the specific changes observed over a 9-year period in a contemporary Australian PCI cohort. The Melbourne Interventional Group is an established multicenter PCI registry in Melbourne, Australia. Data were collected prospectively with 30-day and 12-month follow-ups. Demographic, procedural, and outcome data for all consecutive patients were analyzed with a year-to-year comparison from 2005 to 2013. National Death Index linkage was performed for long-term mortality analysis; 19,858 procedures were captured over 9 years. Patient complexity and acuity increased with a higher proportion of traditional risk factors and more elderly patients who underwent PCI. Angiographic lesion complexity increased with more multivessel coronary artery disease and more American College of Cardiology/American Heart Association type B2/C lesions proceeding to PCI. The 30-day rate of death, myocardial infarction, or target vessel revascularization has not changed nor has 12-month mortality, myocardial infarction, or major adverse cardiovascular event rates. The strongest independent predictor of long-term mortality was cardiogenic shock at presentation (hazard ratio [HR] 2.95, p <0.01). Drug-eluting stent use (HR 0.83, p <0.01) and a history of dyslipidemia (HR 0.81, p <0.01) were associated with long-term survival. In conclusion, from 2005 to 2013, we observed a cohort of higher risk clinical and angiographic characteristics, with stable long-term mortality.
DOI 10.1016/j.amjcard.2017.03.258
Field of Research 1102 Cardiorespiratory Medicine and Haematology
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30157782

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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