Intraprocedural Cardiac Arrest in Patients Undergoing Percutaneous Coronary Interventions in the United States
- Registry study
- National Cardovascular Data Registry CathPCI Registry
+1 more
- National Cardovascular Data Registry CathPCI Registry
Authors' conclusion
IPCA complicates 0.93% of contemporary PCI. Despite an increasing incidence of risk-adjusted IPCA, there were slight declines in risk-adjusted in-hospital mortality in the study period. Several patient and procedural characteristics were independently associated with intraprocedural CA.
Study context
- Population
- Patients undergoing percutaneous coronary interventions (PCI), 2018 to 2023PCIs, 36,755 intraprocedural CA (IPCA)
- Participants
- 3,956,840 patients
Main finding
As reported in the abstract
Incidence of IPCA
- IPCA overall
- 0.93%
- IPCA events
- 36,755
- Elective PCIs
- 0.24%
- PCIs for stable coronary artery disease
- 0.32%
- Acute coronary syndrome interventions
- 1.28%
Observational data: associations, not effects.
Further findings
Trend in IPCA incidence · 2018 to 2023
- 2018
- 0.62%
- 2023
- 1.07%
- P
- P < 0.0001
In-hospital death among patients with IPCA
- In-hospital death
- 40.5%
- Of those who died, died in the cardiac catheterization laboratory
- 45.4%
Risk-adjusted IPCA over time
- Risk-adjusted IPCA
- 0.79% to 0.95%
- P
- P = 0.042
Risk-adjusted mortality over time
- Risk-adjusted mortality
- 45.1% to 43.6%
- P
- P = 0.027
Predictors of IPCA
- Associated with increased adjusted odds of IPCA: PCI for ST-segment elevation myocardial infarction, non-ST-segment acute coronary syndromes, increasing age, ventricular arrhythmias, severe aortic stenosis, vasopressors or inotrope use, mechanical circulatory support, coronary perforation, coronary dissection, cardiac tamponade, intraprocedural heart failure or myocardial infarction, and temporary cardiac pacemaker implantation
Original publication
Intraprocedural Cardiac Arrest in Patients Undergoing Percutaneous Coronary Interventions in the United States. JACC Cardiovasc Interv. Published 12 October 2026. doi:10.
Summarised from the published abstract; every number is checked against it