Feasibility of Cardiac Catheterization in an Upcoming Hospital without Onsite Surgical Support

Abstract

The study aimed to investigate the feasibility of catheter-based cardiac intervention in an upcoming cardiology center without onsite surgical support. This prospective, cross-sectional study was done from July 2016 to September 2018 in intervention in an upcoming cardiology center without the onsite surgical support. The institutional ethical committee had approved the study. A total of 2000 patients were studied. The age of the study population was above 10 years. The male population constituted 70.1%. A total of 1862 (91.1%) had coronary artery disease. The procedural detail included percutaneous transluminal coronary angioplasty: 269; percutaneous transluminal angioplasty: 22, percutaneous transluminal renal angioplasty: 5; valvuloplasty: 5; pericardiocentesis: 102 and permanent pacemaker implantation (PPI): 39. The access sites were femoral-3 (0.15%), radial-1972 (98.6%), ulnar-1, d-TRA-12, brachial- 4, and switch from radial to other sites was 8 (0.4%). Same-day discharge was possible in 1302 (65.1%). The complications observed were minor bleeding – 23 (1.15%), inhospital death-0, pericardial tamponade-1, and contrast-induced nephropathy-5 (0.25%).

Keywords

• cardiac catheterization
• surgical support
• without onsite