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within 30 days after the PCI procedure, and 114 (74%) events occurred in the setting of STEMI. Out of all the deaths, pre-procedural cardiogenic shock, cardiac arrest, CHF, and sustained ventricular tachycardia, were present in 48%, 31%, 29%, and 7% patients, respectively. Overall, only 42 (27%) patients died from PCI-related events, and the majority of these were related to definite (5%) or presumed (15%) subacute stent thrombosis. The most common cause of mortality was non-PCI-related cardiac death (73 patients, 47%), with post-STEMI cardiogenic shock (36%) being the most common etiology. Forty-four patients (28%) died from non-cardiac-related causes, and anoxic encephalopathy (16%) after cardiac arrest complicating STEMI was the most common cause in this category. Conclusions: The majority of the deaths after PCI in a regional cardiac centre were related to the patients’ presenting illnesses and comorbidities, rather than PCI-related causes, which would be a better marker of PCI quality.

Direct culprit vessel primary PCI to LAD followed by contra lateral angiography by transradial route in acute myocardial infarction – Direct Study