HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Paul K. Davis David B. Campbell John L. Myers Walter E. Pae William S. Pierce Craig B. Wisman John A. Waldhausen Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Davis, P. K. Articles by Waldhausen, J. A. Search for Related Content PubMed PubMed Citation Articles by Davis, P. K. Articles by Waldhausen, J. A.

Ann Thorac Surg 1989;47:493-498
© 1989 The Society of Thoracic Surgeons

---

Articles

Mortality of coronary artery bypass grafting before and after the advent of angioplasty

Department of Surgery, The Pennsylvania State University, Hershey, Pennsylvania, USA

^_* Address reprint request to Dr Davis, Department of Surgery, College of Medicine, Milton S. Hershey Medical Center, The Pennsylvania State University, PO Box 850, Hershey, PA 17033.

In an effort to determine whether the population of patients undergoing isolated coronary artery bypass grafting and the outcome of these operations have changed, we analyzed the records of two patient populations from our institution. Interventionsl cardiology techniques (angioplasty, thrombolysis) were not used at our institution before 1982. The records of 736 patients (group 1) who underwent isolated coronary artery bypass grafting from January 1975 to July 1981 were reviewed and compared with a group of 603 patients (group 2) who underwent operation from July 1985 to December 1987. The techniques of operation and myocardial preservation were virtually identical during the two periods. During the group 2 analysis period, 343 angioplasty procedures were performed. The patients in group 2 were significantly older, had increased preoperative New York Heart Association classification, had sustained more previous myocardial infarctions, and had more associated morbid medical conditions. There was a threefold increase in patients seen for reoperative revascularization procedures and a fourfold increase in emergency operations. Overall mortality, although not significantly different, did increase slightly from 2.69% in group 1 to 3.83% in group 2. Mortality after elective procedures remained essentially unchanged (2.05% for group 1 and 1.90% for group 2).

This article has been cited by other articles:

				J. M. D. van den Brule, L. Noyez, and F. W. A. Verheugt Risk of coronary surgery for hospital and early morbidity and mortality after initially successful percutaneous intervention Interact CardioVasc Thorac Surg, April 1, 2005; 4(2): 96 - 100. [Abstract] [Full Text] [PDF]

				M. S. Barakate, J. M. Hemli, C. F. Hughes, P. G. Bannon, and M. D. Horton Coronary artery bypass grafting (CABG) after initially successful percutaneous transluminal coronary angioplasty (PTCA): a review of 17 years experience Eur J Cardiothorac Surg, February 1, 2003; 23(2): 179 - 186. [Abstract] [Full Text] [PDF]

				A. J. Hartz, J. C. Manley, J. A. Walker, H. H. Gale, Z. He, and J. Assa Trends during 25 years of coronary artery bypass operation at St. Luke s Medical Center in Milwaukee, Wisconsin Ann. Thorac. Surg., March 1, 2000; 69(3): 829 - 833. [Abstract] [Full Text] [PDF]

				R. Sadanandam, N. Al Khaja, M. A Aziz, and M. A Turner Profile of Coronary Artery Bypass Surgery in United Arab Emirates: Dubai Hospital Experience Asian Cardiovasc Thorac Ann, June 1, 1998; 6(2): 118 - 124. [Abstract] [Full Text] [PDF]

				J. A. Lamphere, P. O. Daily, R. J. Moreno, S. Marcus, W. P. Dembitsky, R. R. Adamson, M. Burr, and P. O'Neill New technique for lesser saphenous vein harvesting Ann. Thorac. Surg., December 1, 1995; 60(6): 1829 - 1830. [Abstract] [PDF]

				P. Menasche, W. R. E. Jamieson, W. Flameng, M. K. Davies, and on behalf of the Multinational Acadesine Study Gro ACADESINE: A NEW DRUG THAT MAY IMPROVE MYOCARDIAL PROTECTION IN CORONARY ARTERY BYPASS GRAFTINGResults of the first international multicenter study J. Thorac. Cardiovasc. Surg., October 1, 1995; 110(4): 1096 - 1106. [Abstract] [Full Text]

				R. G. Johnson, C. Sirois, J. F. Watkins, R. L. Thurer, F. W. Sellke, W. E. Cohn, R. E. Kuntz, and R. M. Weintraub CABG after successful PTCA: A case-control study Ann. Thorac. Surg., June 1, 1995; 59(6): 1391 - 1396. [Abstract] [PDF]

				C. W. Akins, M. J. Buckley, W. M. Daggett, A. D. Hilgenberg, G. J. Vlahakes, D. F. Torchiana, and W. G. Austen Reoperative coronary grafting: Changing patient profiles, operative indications, techniques, and results Ann. Thorac. Surg., August 1, 1994; 58(2): 359 - 365. [Abstract] [PDF]

				D. L. Disch, G. T. O'Connor, J. D. Birkmeyer, E. M. Olmstead, D. G. Levy, S. K. Plume, and Northern New England Cardiovascular Disease Study Changes in patients undergoing coronary artery bypass grafting: 1987-1990 Ann. Thorac. Surg., February 1, 1994; 57(2): 416 - 423. [Abstract] [PDF]

				G. T. O'Connor, S. K. Plume, E. M. Olmstead, L. H. Coffin, J. R. Morton, C. T. Maloney, E. R. Nowicki, J. F. Tryzelaar, F. Hernandez, L. Adrian, et al. A Regional Prospective Study of In-Hospital Mortality Associated With Coronary Artery Bypass Grafting JAMA, August 14, 1991; 266(6): 803 - 809. [Abstract] [PDF]

				R. P. Anderson Mortality rates and risk factors in coronary bypass surgery Ann. Thorac. Surg., April 1, 1989; 47(4): 489 - 490. [PDF]