{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T09:30:58Z","timestamp":1775640658770,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,9,21]],"date-time":"2022-09-21T00:00:00Z","timestamp":1663718400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Extracardiac vascular disease (ECVD) is increasingly recognized as a cardiovascular risk factor, but its association with outcomes after percutaneous coronary intervention (PCI) has not been well characterized.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using the National Inpatient Sample database, all patients undergoing PCI between October 2015 and December 2018 were stratified by the presence and organ\u2010specific extent of extracardiac vascular comorbidity (cerebrovascular disease (CeVD), renovascular, aortic and peripheral arterial disease (PAD)). Primary outcome was all\u2010cause mortality and secondary outcomes were (a) major adverse cardiovascular and cerebrovascular events (MACCE), (b) acute ischemic stroke and (c) major bleeding. Multivariable logistic regression was used to determine the adjusted odds ratios (aOR) and 95% confidence interval (95% CI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of a total of 1,403,505 patients undergoing PCI during the study period, 199,470 (14.2%) had ECVD. Patients with ECVD were older (median of 72 years vs. 70 years, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and had higher comorbidity burden that their counterparts. All cause\u2010mortality was 22% higher in patients with any ECVD compared to those without ECVD. PAD patients had the highest odds of all\u2010cause mortality (aOR 1.48, 95% CI 1.40\u20131.56), followed by those with CeVD (aOR 1.15, 95% CI 1.10\u20131.19). Patients with extracardiac disease had increased odds of MACCE, ischemic stroke and bleeding, irrespective of the nature or extent (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), compared to patients without ECVD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>ECVD is associated with worse outcomes in patients undergoing PCI including significantly higher rates of death and stroke. These data should inform our shared decision\u2010making process with our patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30404","type":"journal-article","created":{"date-parts":[[2022,9,21]],"date-time":"2022-09-21T16:29:27Z","timestamp":1663777767000},"page":"737-746","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Impact of extracardiac vascular disease on outcomes of 1.4 million patients undergoing percutaneous coronary intervention"],"prefix":"10.1002","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8256-5168","authenticated-orcid":false,"given":"Hussein","family":"Bashar","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Southampton Southampton UK"},{"name":"Coronary Research Group University Hospital Southampton NHS Foundation Trust Southampton UK"},{"name":"Keele Cardiovascular Research Group, Centre for Prognosis Research, Institute for Primary Care and Health Sciences Keele University Keele UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9272-6906","authenticated-orcid":false,"given":"Andrija","family":"Mateti\u0107","sequence":"additional","affiliation":[{"name":"Keele Cardiovascular Research Group, Centre for Prognosis Research, Institute for Primary Care and Health Sciences Keele University Keele UK"},{"name":"Department of Cardiology University Hospital of Split Split Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick","family":"Curzen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Southampton Southampton UK"},{"name":"Coronary Research Group University Hospital Southampton NHS Foundation Trust Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamas A.","family":"Mamas","sequence":"additional","affiliation":[{"name":"Keele Cardiovascular Research Group, Centre for Prognosis Research, Institute for Primary Care and Health Sciences Keele University Keele UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,9,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2010.02.002"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2020.11.051"},{"issue":"4","key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1067\/mhj.2003.6","article-title":"Prior peripheral arterial disease and cerebrovascular disease are independent predictors of adverse outcome in patients with acute coronary syndromes: are we doing enough? 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