Unprotected percutaneous coronary intervention is safe and effective for treating unstable angina in the modern warrior: the second Gulf War experience at Landstuhl Regional Medical Center, Germany

Unprotected percutaneous coronary intervention is safe and effective for treating unstable angina in the modern warrior: the second Gulf War experience at Landstuhl Regional Medical Center, Germany

Evacuation of soldiers with acute coronary syndromes to U.S. hospitals has been the treatment strategy of choice. However, percutaneous coronary intervention (PCI) complication rates have decreased to the point that it is feasible to bring this therapy forward. Patients presenting with acute coronar...

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Bibliographic Details
Published in:Military medicine Vol. 170; no. 2; pp. 113 - 116
Main Authors: Filardo, Steven, Mata, Reuben, Willingham, Cathy, Coyle, Louis, Older, Steven, Torrent, John, Modlin, Randolph
Format: Journal Article
Language:English
Published: England Oxford University Press 01-02-2005
Subjects:
Air Ambulances
Angina, Unstable - therapy
Angioplasty, Balloon, Coronary - standards
Female
Germany
Hospitals, Military
Humans
Iraq
Male
Middle Aged
Military Medicine - standards
Military Personnel
Persian Gulf War
Risk Assessment
Safety
United States
United States
Germany
Iraq
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Summary:Evacuation of soldiers with acute coronary syndromes to U.S. hospitals has been the treatment strategy of choice. However, percutaneous coronary intervention (PCI) complication rates have decreased to the point that it is feasible to bring this therapy forward. Patients presenting with acute coronary syndromes during Operation Iraqi Freedom (March 2003 to June 2003] were evacuated to Landstuhl Regional Medical Center, Germany. Patients with a high clinical risk but a low interventional risk were selected for unprotected PCI. PCI was successfully accomplished for 93% of patients (13 of 14 patients). One patient had a 1-month history of progressive angina and a chronic total lesion that could not be crossed. There were no major complications. Patients with acute coronary syndromes who are risk-stratified can be safely treated with PCI at overseas military hospitals lacking cardiothoracic surgical back-up assistance. This strategy minimizes the risk of transoceanic evacuation of this patient population.
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ISSN:0026-4075
1930-613X