Abstract 18170: Prevalence, Predictors and 1-year Outcomes of ad hoc PCI for Complex Coronary Artery Disease : A Patient-centered Observational Study

Introduction: 2011 ACCF/AHA coronary artery bypass grafting (CABG) guideline and percutaneous coronary intervention (PCI) guideline recommended the forbidden use of ad hoc PCI (PCI immediately after coronary angiography) for complex coronary artery disease (CAD). The aim of this study is to explore the prevalence, risk factors and outcomes of ad hoc PCI for three-vessel or left-main CAD. Hypothesis: Complex CAD patients treated by ad hoc PCI have worse 1-year outcomes comparing with staged treatment. Methods: Between July 2011 and September 2012, patients diagnosed as three-vessel or left-main CAD at Fuwai hospital were consecutively enrolled. We reviewed medical records to abstract detailed in-hospital information. The Corelab calculated SYNTAX Scores according to coronary angiograms. We conducted follow-up interview at 12 months after index hospitalization. The end point was major adverse cerebral and cardic event (MACCE) including death, myocardial infarction, stroke and additional revascularizatin. Pa...