Aim

Argues continue about primary angioplasty procedures at hospitals without on- site cardiac surgery. We aim to present and compare with the litreature the results of our center without on- site cardiac surgery of primary angioplasty procedures.

Methods

45 consecutive acute ST- elevation myocardial infarction patients were performed primary angioplasty between January and May 2012 at our hospital. Average age was 62± 7 years ( limits 40- 85 years, 34( 76% ) were male and, 11( 24% ) were female. 12( 27%) patients were acute anterior myocardial infarction and 33(73%) were acute inferior myocardial infarction. Door- to- balloon time was 38± 19 minutes. Thrombosis aspiration was 12% and intra-aortic pump use was 5%. Procedure success rate was 92%.In- hospital mortality was 4. 5%, vascular access complications were 1. 5 %. A stent was slipped off in one patient but taken from the artery and primary percutaneous procedure completed succsesfully. Stroke and emergent cardiac surgery were not needed in any patient.

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