Evidence map›Paper›PMID 34057275›Full record

ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2022

Reduction of door-to-balloon time in patients with ST-elevation myocardial infarction by single-catheter primary percutaneous coronary intervention method.

Kyong Hee Lee, Sho Torii, Mitsutoshi Oguri, Tsuyosi Miyaji, Takahiko Kiyooka, Yuujirou Ono, Kouhei Asada, Taichi Adachi, Akihiko Takahashi, Yuji Ikari

Registry-linked trialAbstract read
In one paragraph

Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05604976 (To Investigate Whether Single Catheter Primary PCI Method Can Reduce the Time Required for Primary PCI in Cases of ST Elevation Myocardial Infarction.), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05604976 naunknown statusnot on this map

To Investigate Whether Single Catheter Primary PCI Method Can Reduce the Time Required for Primary PCI in Cases of ST Elevation Myocardial Infarction.

TypeinterventionalSponsorTokai UniversityRan2022 to 2025Enrolled430ConditionsST Elevation Myocardial InfarctionArmsPercutaneous coronary intervention
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
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  10. Reduction of door-to-balloon time in patients with ST-elevation myocardial infarction by single-catheter primary percutaneous coronary intervention method.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Kyong Hee LeeCardiology, Tokai University Hospital, Isehara, Kanagawa, Japan.
Sho ToriiCardiology, Tokai University Hospital, Isehara, Kanagawa, Japan.
Mitsutoshi OguriCardiology, Kasugai City Hospital, Kasugai, Aichi, Japan.
Tsuyosi MiyajiCardiology, Hosogi Hospital, Kochi, Japan.
Takahiko KiyookaCardiology, Tokai University Oiso Hospital, Naka-gun, Kanagawa, Japan.
Yuujirou OnoCardiology, Higashihiroshima Medical Center, Horoshima, Japan.
Kouhei AsadaCardiology, Okamura Memorial Hospital, Shizuoka, Japan.
Taichi AdachiCardiology, Tochigi National Hospital, Tochigi, Japan.
Akihiko TakahashiCardiology, Takahashi Hospital, Kobe, Hyogo, Japan.ORCID 0000-0003-4906-2328
Yuji IkariCardiology, Tokai University Hospital, Isehara, Kanagawa, Japan.ORCID 0000-0001-5686-4324

Funding

Asahi Group FoundationKawasaki Medical SchoolMedtronicNiproTerumo Foundation for Life Sciences and Arts
6 · The paper itself

Abstract

objectivesThe objectives of this study is to confirm reduction of door-to-balloon (D2B) time with single-catheter percutaneous coronary intervention (SC-PCI) method.

backgroundReduction of total ischemic time is important in the emergency treatment of ST-elevation myocardial infarction (STEMI). There have been no established methods in primary percutaneous coronary intervention (PCI) to shorten ischemic time via radial access. Ikari left curve was reported as a universal guiding catheter for left and right coronary arteries. Several procedure steps can be skipped by SC-PCI method as the advantage of a universal catheter.

methodsThis study is a retrospective analysis of a total of 1,275 consecutive STEMI cases treated with primary PCI in 14 hospitals. Patients were divided into two groups, SC-PCI method (n = 298) and conventional PCI method (n = 977). Primary endpoints were door-to-balloon (D2B) time and radiation exposure dose.

resultsThe mean age was 68 ± 13 years old. Radial access was used in 85% of participants. PCI success was achieved in 99.5% of participants and the SC-PCI method was successfully performed in 92.6%. The D2B time was shorter (68 ± 46 vs. 74 ± 50 min, respectively; p = .02), and the radiation exposure dose was lower (1,664 ± 970 vs. 2008 ± 1,605 mGy, respectively; p < .0001) in the SC-PCI group than in the conventional group.

conclusionPrimary PCI with SC-PCI method for patients with STEMI demonstrated shorter D2B time and lower radiation exposure dose.

Indexed as

Myocardial InfarctionPercutaneous Coronary InterventionST Elevation Myocardial InfarctionAgedAged, 80 and overCathetersHumansMiddle AgedRetrospective StudiesTime FactorsTreatment OutcomeIkari catheterradial accessradiation exposure

Identifiers

PMID34057275
PMCPMC9543718

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.