Procedural variation in the performance of pPCI – Stent-Save a Life! Web-based Survey

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Objectives and methods:
We hypothesized that there would be variations in how primary PCI for STEMI is performed in the Stent - Save a Life! member countries.

In order to better understand the current practice, this electronic survey, consisting of 13 focused questions, was forwarded to the Country Champions of the SSL global initiative and emailed to the country interventional cardiologists.

The questionnaire will not take more than 7 min to respond.

1. In which region do you practice? *

Africa

Asia

Europe

Latin America

2. How experienced are you in interventional cardiology? *

<5 years

5 to <10 years

10 to <20 years

> 20 years

3. How many pPCIs do you perform on average per year? *

<30

31-75

76-120

>120

4. In the centre where you work, how many pPCIs are performed on average per year? *

<75

76-120

121-180

181-250

>250

5. Are you part of a 24/7 pPCI hospital? *

Yes

6. Which access route is the most useful in pPCI? *

Radial

Femoral

7. When do you get a central venous access route? *

Before pPCI

During or after pPCI

Rarely or never used

8. Under which conditions is pPCI right catheterisation performed? *

Before reperfusion

Used electively

Rarely or never performed

9. In which situations is left ventriculography performed? *

Before angioplasty

After angioplasty

Rarely or never performed

10. What sequence of catheters do you use for pPCI? *

Guide catheter directly to the culprit vessel with immediate treatment, and only after pPCI do I catheterise the non-responsible vessel

Catheterisation with a diagnostic catheter of the supposedly not culprit vessel, followed by catheterisation of the culprit with a guide catheter

First, I perform a complete diagnostic catheterisation of both vessels, and only then do I proceed with a guide catheter to treat the culprit lesion

11. Under what conditions is aspiration thrombectomy performed? *

Routinely

Selectively

Rarely or never performed

12. Procedural aspects of pPCI intervention strategy in patients with multivessel disease *

Routine revascularisation of non-IRA lesions at the index procedure

Routine revascularisation of non-IRA lesions before hospital discharge

Routine revascularisation of non-IRA lesions after hospital discharge

13. Concerning DAPT, when do you administer prasugrel, ticagrelor or clopidogrel? *

In the ambulance or the emergency room before angiography

After knowing coronary anatomy

Country of your practice

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