Abstract
References
- 1.Murray CJ, Lopez AD. Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet 1997;349:1269–1276.
- 2.Brilakis ES, Rao SV, Banerjee S, et al. Percutaneous coronary intervention in native arteries versus bypass grafts in prior coronary artery bypass grafting patients: a report from the National Cardiovascular Data Registry. JACC Cardiovasc Interv. 2011 Aug;4(8):844-50. doi: 10.1016/j.jcin.2011.03.018.
- 3.Mannacio V, Di Tommaso L, De Amicis V, et al.Previous percutaneous coronary interventions increase mortality and morbidity after coronary surgery. Ann Thorac Surg. 2012 Jun;93(6):1956-62. doi: 10.1016/j.athoracsur.2012.02.067.
- 4.Yusuf S, Zucker D, Peduzzi P, et al. Effect of coronary artery bypass surgery on survival: an overview of 10-year results from randomized trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration. Lancet 1994;344(8922):563–70.
- 5.Eagle KA, Guyton RA, Davidoff R, et al. ACC/AHA Guidelines for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1991 Guidelines for Coronary Artery Bypass Graft Surgery). American College of Cardiology/American Heart Association. J Am Coll Cardiol. 1999 Oct;34(4):1262-347.
- 6.Loop F, Lytle B, Cosgrove D, Stewart R, Goormastic M, Williams G, Golding L, Gill C, Taylor P, Sheldon W, Proudfit W. Influence of the Internal Mammary Artery Graft on 10-Year Survival and Other Cardiac Events,NEJM, Vol 314: 1-6,1986.
- 7.Sianos, G., Morel, M., Kappetein, A., Morice, M., Colombo, A., Dawkins, K., van den Brand, M., Van Dyck, N., Russell, M., ve Mohr, F.,The SYNTAX score: an angiographic tool grading the complexity of coronary artery disease. EuroIntervention, 2005. 1: p. 219-227.
- 8.Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS); European Association for Percutaneous Cardiovascular Interventions (EAPCI), Wijns W, Kolh P, Danchin N, Di Mario C, Falk V, Folliguet T, Garg S, Huber K, James S, Knuuti J, Lopez-Sendon J, Marco J, Menicanti L, Ostojic M, Piepoli MF, Pilot C, Pomar JL, Reifart N, Ribichini FL, Schalij MJ, Sergeant P, Serruys PW, Silber S, Sousa Uva M, Taggart D. Guidelines on myocardial revascularization. Eur Heart J. 2010 Oct;31(20):2501-55. doi: 10.1093/eurheartj/ehq277
- 9.Maurer BJ, Oberman A, Holt JH Jr, Kouchoukos NT, Jones WB, Russell RO Jr, Reeves TJ: Changes in grafted and nongrafted coronary arteries following saphenous vein bypass grafting. Circulation 1974;50:293–300.
- 10.Accola KD. Craver JM, Weintraub WS. Guyton RA. Jones EL. Multiple preoperative coronary artery bypass grafting. Ann Thorac Surg 1991;52:738-43
THE EFFECT OF UNDERGONE BYPASS SURGERY ON THE PERCUTANEOUS CORONARY INTERVENTION RESULTS/DOES PREVIOUS CORONARY ARTERY BYPASS SURGERY COMPLICATE THE SUBSEQUENT PERCUTANEOUS CORONARY INTERVENTION?
Abstract
Background: Recurrent revascularization is frequently
needed in despite to the modern treatment options of coronary artery
disease. Recurrent revascularization has
need special caution in the setting of previous coronary bypass surgery (CABG). There is no study to
investigate possible adverse effects of prior
CABG on percutaneous coronary interventions (PCI). This study investigated that PCI results of the patients
with prior CABG.
Methods: Patients who underwent
PCI screened retrospectively. Consecutive 100 patients had been prior PCI (group 1), and 100 patients had been prior
CABG (group 2) were enrolled to the study. The patients were not enrolled in the study;
index PCI underwent bypass graft or total occluded lesion or instant lesion or in the setting of ST
elevation myocardial infarction or bifurcation stenting was done.
Results:
Group 1 and group 2 were similar in terms of age and
gender. No statistically significant difference was observed between other
demographic features. The lesion severity was not significantly different
between the groups. In the CABG group, the intervention was more frequent to
the Cx lesion; while in the PCI group, intervention to the LAD lesion was more
frequent. Factors that made the procedure difficult were similar in both groups. There was no significant difference
between the two groups regarding lesions longer than 20 mm and diffuse coronary
artery disease. Balloon and stenting were more frequent in the CABG group, and
direct stenting was more frequent in the PCI group (p<0.05) Balloon dilatation was found to be
more frequent in the CABG group. The duration of the procedure, number of
angiographic frames and films, amount of contrast material used were
significantly higher in the CABG group, as the difference between the two
groups was not significant regarding balloon pressures applied during stenting. Previous CABG history was found to be
an independent variable for the duration of the procedure and the number of
angiographic frames. Prior
CABG also has a significant correlation
with prolonged intervention duration, radiopaque volume, and cine-angiography film and frame counts when
controlling for intervened artery and prior
index intervention time interval.
Conclusions: PCI was associated
with prolonged intervention duration, higher radiopaque volume and higher
radiation exposure when implanted in patients with prior CABG. The physician should be alert and precautionary
for more complex PCI in patients with prior CABG.
References
- 1.Murray CJ, Lopez AD. Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet 1997;349:1269–1276.
- 2.Brilakis ES, Rao SV, Banerjee S, et al. Percutaneous coronary intervention in native arteries versus bypass grafts in prior coronary artery bypass grafting patients: a report from the National Cardiovascular Data Registry. JACC Cardiovasc Interv. 2011 Aug;4(8):844-50. doi: 10.1016/j.jcin.2011.03.018.
- 3.Mannacio V, Di Tommaso L, De Amicis V, et al.Previous percutaneous coronary interventions increase mortality and morbidity after coronary surgery. Ann Thorac Surg. 2012 Jun;93(6):1956-62. doi: 10.1016/j.athoracsur.2012.02.067.
- 4.Yusuf S, Zucker D, Peduzzi P, et al. Effect of coronary artery bypass surgery on survival: an overview of 10-year results from randomized trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration. Lancet 1994;344(8922):563–70.
- 5.Eagle KA, Guyton RA, Davidoff R, et al. ACC/AHA Guidelines for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1991 Guidelines for Coronary Artery Bypass Graft Surgery). American College of Cardiology/American Heart Association. J Am Coll Cardiol. 1999 Oct;34(4):1262-347.
- 6.Loop F, Lytle B, Cosgrove D, Stewart R, Goormastic M, Williams G, Golding L, Gill C, Taylor P, Sheldon W, Proudfit W. Influence of the Internal Mammary Artery Graft on 10-Year Survival and Other Cardiac Events,NEJM, Vol 314: 1-6,1986.
- 7.Sianos, G., Morel, M., Kappetein, A., Morice, M., Colombo, A., Dawkins, K., van den Brand, M., Van Dyck, N., Russell, M., ve Mohr, F.,The SYNTAX score: an angiographic tool grading the complexity of coronary artery disease. EuroIntervention, 2005. 1: p. 219-227.
- 8.Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS); European Association for Percutaneous Cardiovascular Interventions (EAPCI), Wijns W, Kolh P, Danchin N, Di Mario C, Falk V, Folliguet T, Garg S, Huber K, James S, Knuuti J, Lopez-Sendon J, Marco J, Menicanti L, Ostojic M, Piepoli MF, Pilot C, Pomar JL, Reifart N, Ribichini FL, Schalij MJ, Sergeant P, Serruys PW, Silber S, Sousa Uva M, Taggart D. Guidelines on myocardial revascularization. Eur Heart J. 2010 Oct;31(20):2501-55. doi: 10.1093/eurheartj/ehq277
- 9.Maurer BJ, Oberman A, Holt JH Jr, Kouchoukos NT, Jones WB, Russell RO Jr, Reeves TJ: Changes in grafted and nongrafted coronary arteries following saphenous vein bypass grafting. Circulation 1974;50:293–300.
- 10.Accola KD. Craver JM, Weintraub WS. Guyton RA. Jones EL. Multiple preoperative coronary artery bypass grafting. Ann Thorac Surg 1991;52:738-43
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Medical Science Research Articles |
| Authors | |
| Publication Date | December 29, 2018 |
| Acceptance Date | December 16, 2018 |
| Published in Issue | Year 2018Volume: 40 Issue: 4 |