Infarct size in primary angioplasty without on-site cardiac surgical backup versus transferal to a tertiary center: a single photon emission computed tomography study

P. Knaapen, M. Mulder, F.M. van der Zant, H.O. Peels, J.W.R. Twisk, A.C. van Rossum, J.H. Cornel, V.A. Umans

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Background: Primary percutaneous coronary intervention (PCI) performed in large community hospitals without cardiac surgery back-up facilities (off-site) reduces door-to-balloon time compared with emergency transferal to tertiary interventional centers (on-site). The present study was performed to explore whether off-site PCI for acute myocardial infarction results in reduced infarct size. Methods and results: One hundred twenty-eight patients with acute ST-segment elevation myocardial infarction were randomly assigned to undergo primary PCI at the off-site center (n=68) or to transferal to an on-site center (n=60). Three days after PCI,
Original languageEnglish
Pages (from-to)237-243
JournalEuropean journal of nuclear medicine and molecular imaging
Issue number2
Publication statusPublished - 2009

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