| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2000;70:1997-2003
© 2000 The Society of Thoracic Surgeons
a Department of Cardiology and Angiology/Institute for Arteriosclerosis Research, Hospital of the Westfälische Wilhelms-University, Münster, Germany
b Department of Cardiothoracic Surgery, Hospital of the Westfälische Wilhelms-University, Münster, Germany
c Hospital of the Westfälische Wilhelms-University, Münster, Germany
Accepted for publication June 26, 2000.
Address reprint requests to Dr Schmid, Klinik und Poliklinik für Thorax- Herz- & Gefäßchirurgie, Universitätsklinik Münster, Albert-Schweitzer-Str 33, 48129 Münster, Germany
e-mail: schmid{at}uni-muenster.de
Background. We assessed the impact of patient and procedural characteristics on the outcome after emergency coronary artery bypass grafting (CABG) for failed percutaneous transluminal coronary angioplasty (PTCA) and temporal changes in these factors.
Methods. Patients who underwent PTCA and subsequent emergency CABG were identified from the databases of the Departments of Cardiology and Cardiothoracic Surgery.
Results. Two periods of clinical practice were compared. In 1989 to 1993, 2,880 PTCAs were performed, 64 patients underwent emergency CABG (2.3%), and 7 patients died (10.9%). During 1994 to 1998, 46 patients of 3,801 PTCAs underwent emergency CABG (1.2%, p < 0.01), and 7 patients died (15.2%, NS). The average rate of stenting increased from 0.8% to 24% in 1994 to 1998 as well as the frequency of arterial bypass grafts (0% vs 39%). In the latter period, patients were older, were more often females, had more cardiovascular risk factors, a higher Cleveland score (each p < 0.05), and suffered more often from periprocedural myocardial infarctions (p < 0.001) and nonfatal periprocedural complications (p < 0.01).
Conclusions. Although the frequency of emergency CABG after failed PTCA declined, perioperative mortality tended to increase according to an unfavorable shift in patient risk factors and morbidity.
This article has been cited by other articles:
|
|
 |
|
  C. K. Haan, S. O'Brien, F. H. Edwards, E. D. Peterson, and T. B. Ferguson Trends in emergency coronary artery bypass grafting after percutaneous coronary intervention, 1994-2003. Ann. Thorac. Surg., May 1, 2006; 81(5): 1658 - 1665. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. J. Dehmer and D. S. Gantt Coronary intervention at hospitals without on-site cardiac surgery: are we pushing the envelope too far? J. Am. Coll. Cardiol., February 4, 2004; 43(3): 343 - 345. [Full Text] [PDF]
|
|
|
|
 |
|
 H. Reinecke, T. Trey, J. Wellmann, J. Heidrich, M. Fobker, T. Wichter, M. Walter, G. Breithardt, and R. M. Schaefer Haemoglobin-related mortality in patients undergoing percutaneous coronary interventions Eur. Heart J., December 1, 2003; 24(23): 2142 - 2150. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. S. Barakate, P. G. Bannon, C. F. Hughes, M. D. Horton, A. Callaway, and T. Hurst Emergency surgery after unsuccessful coronary angioplasty: a review of 15 years' experience Ann. Thorac. Surg., May 1, 2003; 75(5): 1400 - 1405. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M G Gunning, I L Williams, D E Jewitt, A M Shah, R J Wainwright, and M R Thomas Coronary artery perforation during percutaneous intervention: incidence and outcome Heart, December 1, 2002; 88(5): 495 - 498. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M. Albes, M. Gross, U. Franke, J. Wippermann, T. U. Cohnert, R. Vollandt, and T. Wahlers Revascularization during acute myocardial infarction: risks and benefits revisited Ann. Thorac. Surg., July 1, 2002; 74(1): 102 - 108. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
