Rate of Urgent Coronary Artery Bypass Grafting in Elective Percutaneous Coronary Intervention (PCI)
Background: Latest research shows that about 0.5% of percutaneous coronary intervention (PCI) patients will need urgent coronary artery bypass grafting (CABG) because of coronary accidents. The ACC/AHA guidelines regard on-site cardiac surgery back-up obligatory for PCI centers. It seems the need fo...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2008-07-01
|
| Series: | Journal of Tehran University Heart Center |
| Subjects: | |
| Online Access: | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/10378.pdf&manuscript_id=10378 |
| _version_ | 1818273060207198208 |
|---|---|
| author | Yonos Nozari Seyed Amir Kassaei |
| author_facet | Yonos Nozari Seyed Amir Kassaei |
| author_sort | Yonos Nozari |
| collection | DOAJ |
| description | Background: Latest research shows that about 0.5% of percutaneous coronary intervention (PCI) patients will need urgent coronary artery bypass grafting (CABG) because of coronary accidents. The ACC/AHA guidelines regard on-site cardiac surgery back-up obligatory for PCI centers. It seems the need for urgent CABG in some Iranian PCI centers is less than 0.5%, which may affect decision-making for performing PCI without on-site surgical back-up in the same condition in Iran.Methods: This retrospective study reviewed all elective PCI documents in two large educational centers with on-site cardiac surgery back-up in Tehran from April 2005 to April 2006. CABG immediately after PCI or until 24 hours after PCI was considered urgent.vessels in our study. The patients’ mean age was 56 (95% CI 46-66) years. The prevalence of hypertensives, smokers, and diabetics was 42%, 44%, and 24%, respectively. The mean stenotic lesion length was 20.5 mm (95% CI 19.5-21), and the mean lesion diameter was 3.02 mm (95% CI Results: There were 1533 PCI patients (71% male) and 1936 PCI 2.58–3.52). There were 98 (5.8%) unsuccessful PCI procedures. The relative frequency of PCI on different vessels was 1070 (55%) on the left anterior descending artery (LAD), 591(30.5%) on the proximal part of LAD, 286 (14.5%) on left circumflex artery (LCX), 438 (22%) on the right coronary artery (RCA), and 142 (7.2%) on other arteries such as the obtuse marginal (OM) or diagonal arteries. There was only one case of urgent CABG in these patients.Conclusion: The recent widespread use of coronary stenting, new antiplatelet drugs, and increased skills of operators has ushered in a considerable reduction in urgent CABG after PCI. |
| first_indexed | 2024-12-12T21:51:57Z |
| format | Article |
| id | doaj.art-d6e7133a162f4dcb835c6e56a5e42772 |
| institution | Directory Open Access Journal |
| issn | 1735-8620 |
| language | English |
| last_indexed | 2024-12-12T21:51:57Z |
| publishDate | 2008-07-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Tehran University Heart Center |
| spelling | doaj.art-d6e7133a162f4dcb835c6e56a5e427722022-12-22T00:10:46ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-07-01312124Rate of Urgent Coronary Artery Bypass Grafting in Elective Percutaneous Coronary Intervention (PCI)Yonos NozariSeyed Amir KassaeiBackground: Latest research shows that about 0.5% of percutaneous coronary intervention (PCI) patients will need urgent coronary artery bypass grafting (CABG) because of coronary accidents. The ACC/AHA guidelines regard on-site cardiac surgery back-up obligatory for PCI centers. It seems the need for urgent CABG in some Iranian PCI centers is less than 0.5%, which may affect decision-making for performing PCI without on-site surgical back-up in the same condition in Iran.Methods: This retrospective study reviewed all elective PCI documents in two large educational centers with on-site cardiac surgery back-up in Tehran from April 2005 to April 2006. CABG immediately after PCI or until 24 hours after PCI was considered urgent.vessels in our study. The patients’ mean age was 56 (95% CI 46-66) years. The prevalence of hypertensives, smokers, and diabetics was 42%, 44%, and 24%, respectively. The mean stenotic lesion length was 20.5 mm (95% CI 19.5-21), and the mean lesion diameter was 3.02 mm (95% CI Results: There were 1533 PCI patients (71% male) and 1936 PCI 2.58–3.52). There were 98 (5.8%) unsuccessful PCI procedures. The relative frequency of PCI on different vessels was 1070 (55%) on the left anterior descending artery (LAD), 591(30.5%) on the proximal part of LAD, 286 (14.5%) on left circumflex artery (LCX), 438 (22%) on the right coronary artery (RCA), and 142 (7.2%) on other arteries such as the obtuse marginal (OM) or diagonal arteries. There was only one case of urgent CABG in these patients.Conclusion: The recent widespread use of coronary stenting, new antiplatelet drugs, and increased skills of operators has ushered in a considerable reduction in urgent CABG after PCI.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/10378.pdf&manuscript_id=10378Coronary artery bypass graftingCoronary angioplastyEmergencies |
| spellingShingle | Yonos Nozari Seyed Amir Kassaei Rate of Urgent Coronary Artery Bypass Grafting in Elective Percutaneous Coronary Intervention (PCI) Journal of Tehran University Heart Center Coronary artery bypass grafting Coronary angioplasty Emergencies |
| title | Rate of Urgent Coronary Artery Bypass Grafting in Elective Percutaneous Coronary Intervention (PCI) |
| title_full | Rate of Urgent Coronary Artery Bypass Grafting in Elective Percutaneous Coronary Intervention (PCI) |
| title_fullStr | Rate of Urgent Coronary Artery Bypass Grafting in Elective Percutaneous Coronary Intervention (PCI) |
| title_full_unstemmed | Rate of Urgent Coronary Artery Bypass Grafting in Elective Percutaneous Coronary Intervention (PCI) |
| title_short | Rate of Urgent Coronary Artery Bypass Grafting in Elective Percutaneous Coronary Intervention (PCI) |
| title_sort | rate of urgent coronary artery bypass grafting in elective percutaneous coronary intervention pci |
| topic | Coronary artery bypass grafting Coronary angioplasty Emergencies |
| url | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/10378.pdf&manuscript_id=10378 |
| work_keys_str_mv | AT yonosnozari rateofurgentcoronaryarterybypassgraftinginelectivepercutaneouscoronaryinterventionpci AT seyedamirkassaei rateofurgentcoronaryarterybypassgraftinginelectivepercutaneouscoronaryinterventionpci |