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Clinical outcome of patients undergoing emergent coronary artery bypass grafting following failed percutaneous coronary intervention in stent era / 中华心血管病杂志
Chinese Journal of Cardiology ; (12): 30-33, 2012.
Article in Chinese | WPRIM | ID: wpr-275112
ABSTRACT
<p><b>OBJECTIVE</b>To explore clinical outcomes of patients undergoing emergent coronary artery bypass grafting (CABG) following failed percutaneous coronary intervention (PCI) in the stent era.</p><p><b>METHODS</b>Eleven patients who underwent emergent CABG following failed PCI from January, 2002 to December 2010 were enrolled. The in-hospital follow-up included cardiac deaths, Q-wave myocardial infarction, kidney failure, and cerebrovascular events. The clinical end-point of out-hospital follow-up was the major adverse cardiac events including death, myocardial infarction, and target lesion revascularization.</p><p><b>RESULTS</b>The patients were (61 ± 5) years old. Coronary angiography showed 5 patients had triple vessel lesions. There were 9 target lesions on left anterior descending artery. There were 3 (27.3%) severe calcified, 4 (36.4%) chronic total occlusion, and 4 (36.4%) diffused long lesions. Reasons for emergent CABG were dissection (n = 5, 45.5%), perforation (n = 3, 27.3%), failure to sufficient predilation (n = 1, 9.1%), acute closure (n = 1, 9.1%) and stent loss (n = 1, 9.1%). The average duration of follow-up was (47 ± 33) months. During in-hospital follow-up, there were 1 (9.1%) cardiac death and 2 (18.2%) Q wave myocardial infarction. During follow-up after hospital discharge, 1 patient (9.1%) died of kidney failure, and there was no rehospitalization due to cardiac events.</p><p><b>CONCLUSIONS</b>Emergent CABG after failed PCI often happened in patients with complex coronary lesions. The long term outcome of patients requiring emergent CABG after failed PCI was favorable in this cohort.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Prognosis / General Surgery / Coronary Artery Disease / Coronary Artery Bypass / Retrospective Studies / Treatment Outcome / Diagnosis / Emergency Treatment / Percutaneous Coronary Intervention Type of study: Diagnostic study / Observational study / Prognostic study Limits: Aged / Female / Humans / Male Language: Chinese Journal: Chinese Journal of Cardiology Year: 2012 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Prognosis / General Surgery / Coronary Artery Disease / Coronary Artery Bypass / Retrospective Studies / Treatment Outcome / Diagnosis / Emergency Treatment / Percutaneous Coronary Intervention Type of study: Diagnostic study / Observational study / Prognostic study Limits: Aged / Female / Humans / Male Language: Chinese Journal: Chinese Journal of Cardiology Year: 2012 Type: Article