Author(s)

Khaled Leon¹, Mohamed Soleiman², Ahmed Kamel³, Youssry Thakeb⁴, Ehab Cherif⁵, Bassem Zarif⁶

¹Consultant Cardiology, National Heart Institute (NHI), Cairo, Egypt.
²Cardiology Registrar, NHI, Cairo, Egypt.
³Cardiology Consultant, Vice dean of NHI, Cairo, Egypt.
⁴Consultant Cardiothoracic Surgery, NHI, Cairo, Egypt.
⁵Consultant Cardiology, Interventional Cardiology Fellow at NHI, Cairo, Egypt.
⁶Consultant Cardiology, Vice Dean of NHI for Research, Cairo, Egypt.

Introduction: Despite the shift in PCI application, the underlying criteria of complex PCI and its impact on clinical outcomes remain unexplained. Methods: Single-center retrospective observational study of complex PCI characteristics and 1-year outcome. Complex PCI was defined as any of the following: three-vessel disease, bifurcation lesion, left main disease, and moderate to severe calcification by angiography and CTO. Results: The study cohort includes 551 patients who had PCI over a two-month period. 101 (20%) of all patients fulfilled the criteria for complex PCI: 20% have 3VD, 33% have LM disease, 38% have bifurcation, 43% have severe Calcification and 35% have CTO. Combined MACE was more common in C-PCI (40% vs 12.4% <0.001), all individual components were more common in C-PCI (Repeated Revascularization 7.9%Vs 3.7%, P 0.071), Rehospitalization for ACS (1.9% vs 2.2%, p 0.8), Recurrent Angina (9% vs 8%, p 0.071), and HF (7% vs 3.7%, p 0.161). Conclusion: Complex PCI is prevalent in everyday practice (20% of total patients) across all clinical presentations, age groups, and gender. The consequence is dismal.

Complex Percutaneous Coronary Intervention (C-PCI)

Leon, K. , Soleiman, M. , Kamel, A. , Thakeb, Y. , Cherif, E. and Zarif, B. (2023) Identification, Prevalence, and Outcome of Complex Percutaneous Coronary Intervention (C-PCI)—A Single Center Experience. Open Access Library Journal, 10, 1-7. doi: 10.4236/oalib.1109679.