Objective: To investigate the pattern of PCI procedures in real-world practice in Sri Lanka over a period of time.

Methods: This prospective descriptive study, included all patients who underwent PCI at one unit of a tertiary care cardiac center in Colombo, Sri Lanka, between March 2022 and December 2022. Patient’s baseline clinical characteristics, procedural details, equipment usage and complications were analyzed and followed up for 6 months.

Results: Among 317 patients included in the analysis, 89.9% were ≥40 years old, with a mean age of 54.7 (SD 11) and 73.5% were male. The most common presentation was Chronic Coronary Syndrome (CCS), 65.9% with 6.9% Chronic Total Occlusion (CTO) cases. Within Acute Coronary Syndrome (ACS) cases, the highest percentage (27.1%) was attributed to ST Elevation Myocardial Infarction (STEMI), with 18.3% being anterior MI, suggesting the Left Anterior Descending (LAD) artery was most commonly affected. Approximately 86.1% had single vessel PCI, while 2.8% underwent left main PCI. Transradial access obtained in 87.4%. Despite a 6.9% CTO, a high procedural success rate of 94.3% was observed. In-hospital mortality rate was low at 0.3%, and the 6-month mortality rate was 0.9%.

Conclusion: Despite the limited sample size, our study provides valuable insights into the current practices and outcomes of PCI in Sri Lanka. Despite the constraints of limited resources, we observed a high success rate and minimal complications.