Military medicine · 2005
Unprotected percutaneous coronary intervention is safe and effective for treating unstable angina in the modern warrior: the second Gulf War experience at Landstuhl Regional Medical Center, Germany.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Filardo Steven, Mata Reuben, Willingham Cathy, Coyle Louis, Older Steven, Torrent John, Modlin Randolph
Аннотация
BACKGROUND: Evacuation of soldiers with acute coronary syndromes to U.S. hospitals has been the treatment strategy of choice. However, percutaneous coronary intervention (PCI) complication rates have decreased to the point that it is feasible to bring this therapy forward.
METHODS: Patients presenting with acute coronary syndromes during Operation Iraqi Freedom (March 2003 to June 2003] were evacuated to Landstuhl Regional Medical Center, Germany. Patients with a high clinical risk but a low interventional risk were selected for unprotected PCI.
RESULTS: PCI was successfully accomplished for 93% of patients (13 of 14 patients). One patient had a 1-month history of progressive angina and a chronic total lesion that could not be crossed. There were no major complications.
CONCLUSION: Patients with acute coronary syndromes who are risk-stratified can be safely treated with PCI at overseas military hospitals lacking cardiothoracic surgical back-up assistance. This strategy minimizes the risk of transoceanic evacuation of this patient population.
METHODS: Patients presenting with acute coronary syndromes during Operation Iraqi Freedom (March 2003 to June 2003] were evacuated to Landstuhl Regional Medical Center, Germany. Patients with a high clinical risk but a low interventional risk were selected for unprotected PCI.
RESULTS: PCI was successfully accomplished for 93% of patients (13 of 14 patients). One patient had a 1-month history of progressive angina and a chronic total lesion that could not be crossed. There were no major complications.
CONCLUSION: Patients with acute coronary syndromes who are risk-stratified can be safely treated with PCI at overseas military hospitals lacking cardiothoracic surgical back-up assistance. This strategy minimizes the risk of transoceanic evacuation of this patient population.