الفهرس 
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Abstract
Percutaneous Coronary Artery Interventions (PCI) represent one of the cornerstone management modalities for patients with coronary artery disease. In spite of the very high early success rates of PCI, the main concern nowadays lies on long term outcomes for these patients as compared with other treatment modalities such as CABG.
Long term follow up series have been published over the past years from various world wide follow up registries.
In Egypt, we lack such follow up registries with their precious feed back data. In Ain Shams University, Cardiology Department a PCI registry was started in 2006 but with long term follow-up.
In this study we start the follow-up PCI patients. It is an observation study of one year clinical follow-up of patients undergoing PCI in Ain Shams University, Cath Labs.
This study included 343 patients who underwent elective PCI in Ain Shams University Cath labs from 1/2007 to 4/2009. We excluded patients with no available contact data and post GABG patients.
Data of these patients were obtained by using the computer system in Cath Labs and follow-up data were collected by phone.
Follow-up data were include mortality, rehospi-talization, duration of clopidogril and MACCE (mortality, CV stroke and rehospitalization). Also, TVR was obtained.
In the current study most of our patients were male (80%) with mean age of 55±8.4%. HTN, DM, smoking and dyslipidemia were the most prevalent risk factors among our population.
Most of the procedures were performed in patients with prior MI (71%) and the most revascu-larized vessel was LAD (57%).
Stents were used in all cases and the most utilized stents were BMS while DES were used in 1%. The mean diameter of utilized stents was 3±0.149 and the mean length was 20±0.098. Predilatation was done in 33% of cases.
Mean follow duration of our study patients was 17.7 months and we found the mean duration of clopidogrel intake was 4.8 months. MACCE was found in 30% of cases. Also, mortality was reported in 11.7% and in hospital mortality was reported in 0.4% of cases.
Rehospitalization was reporteed in 17% of cases. TVR was in 16.4% (PCI 8.4 vs CABG 8%).
When we compared our study with EHS on PCI, we found that our patients were younger (mean age 55±8.4 years) white in EHS on PCI 62 years.
The most prevalent risk factors among our study population were smoking and HTN, which presented in 67% and 81% respectively. While, in EHS on PCI smoking and HTN were presented in 60%, 52% respectively.
Also, we found that most of our patients study had prior MI (71%) while in EHS on PCI patients with prior MI were 43%.
Most of utilized stents in this study were BMS when it compared to EHS on PCI as the DES were used 47%. In hospital mortality was reported in 0.4% among our study population, while in EHS on PCI it was reported in 1.7%. One year mortality was reported in our study in 11% vs 4% in EHS.
Rehospitalization was reported in 17% of our study patients vs 28% in EHS.
TVR was reported in 16.4% (CABG 8.4% and PCI 8%), while in EHS on PCI TVR was reported in 12% (10% PCI, 2% CABG).