Percutaneous transluminal coronary angioplasty in Singapore General Hospital in 1995: a medical audit.

Background : There are few reports which describe the outcomes of unselected groups of patients undergoing percutaneous transluminal coronary angioplasty (PTCA) locally. This study has undertaken to audit the outcome of patients undergoing elective PTCA at Singapore General Hospital. Methods : Procedural data and acute outcomes were recorded prospectively in all patients undergoing PTCA over a 12 month period. A retrospective casenotes review of all patients were carried by independent observers to determine out-of-lab complications. Results : Seven hundred and eight-two patients underwent PTCA in 1995. Acute angiographic success rate was 90.9% and early clinical success rate was 89% ie excluding death, coronary bypass surgery and non fatal myocardial infarction. There were only two deaths in the series (0.26%). Conclusion: The audit confirms the importance of a high volume PTCA cases to achieve excellent results. The data serve as a useful background for future comparison of outcomes.