Corrélations entre antécédents d’angioplastie coronaire et mortalité précoce après chirurgie coronaire

Ghodbane, Walid; Ragmoun, W.; Arbi, R. El; Brahem, W.; Sahraoui, C.; Lejmi, M.; Taamallah, Karima; Massoudi, Hamza; Lebbi, A.; Ziadi, Mohamed; Lahdhili, Hatem; Bey, Moncef; Chenik, Sarra

doi:10.1016/j.ancard.2013.02.006

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…Previous investigations have reported rates of between 14% and 30% for post-stenting revascularization: 78% repeated PCI and 22% CABG 5, 8-10. Other studies have demonstrated that between 10% and 30% of patients undergo CABG following PCI due to the failure of PCI and recurrent stenoses 2, 6, 11-13. The proved local systemic inflammatory response after PCI may affect the results after CABG 14 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Short-Term Results between Patients Undergoing Coronary Artery Bypass Graft with a Stent-Placement History and Patients Undergoing Primary Coronary Artery Surgery

Hadadzadeh

Mirahmadi

Mirzaei

et al. 2019

JTHC

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Background: Percutaneous coronary intervention (PCI) has become the first-choice treatment strategy the world over for patients with chronic coronary artery disorders. This study compared the effects of previous PCI procedures on the short-term postoperative results of coronary artery bypass graft surgery (CABG). Methodsː This cross-sectional analytical study recruited 220 patients who underwent CABG in Afshar Hospital in the Iranian city of Yazd between March 2009 and February 2013. The mean postoperative morbidity and mortality rates, the mean postoperative left ventricular ejection fraction (LVEF), the mean hemorrhage volume, the mean serum urea level, and the mean length of stay in the intensive care unit (ICU) were compared between the PCI and non-PCI groups. Results: Among the 220 participants, 147(66.8%) were male and 73(33.2%) were female. The mean age of the study population was 59.41±10.52 years. There was no significant difference in the risk of mortality between the 2 groups (P=0.369). The mean serum urea level was 21.14±6.52 mg/dL in the PCI group and 14.45±1.08 mg/dL in the non-PCI group (P=0.016). The mean postoperative LVEF was 43.19±8.81% in the PCI group and 45.51±8.15% in the non-PCI group (P=0.044). The mean length of stay in the ICU was 3.34±1.23 days in the PCI group and 2.22±0.56 days in the non-PCI group (P<0.001). The mean hemorrhage volume was 1113.01±428.13 mL in the PCI group and 961.42±228.31 mL in the non-PCI group (P=0.027). Conclusion: Previous PCI procedures did not affect the post-CABG mortality rate; however, some postoperative results were worse in the PCI group than in the non-PCI group, which should be considered before the selection of the revascularization method. J Teh Univ Heart Ctr 2019;14(2):53-57 This paper should be cited as: Hadadzadeh M, Mirahmadi M, Mirzaei M, Pedarzadeh A, Ghasemzadeh B, Rahimianfar AA. Comparison of Short-term Results between Patients Undergoing Coronary Artery Bypass Graft with a Stent-Placement History and Patients Undergoing Primary Coronary Artery Surgery. J Teh Univ Heart Ctr 2019;14(2):53-57.

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Section: Introductionmentioning

confidence: 99%

Comparison of Short-Term Results between Patients Undergoing Coronary Artery Bypass Graft with a Stent-Placement History and Patients Undergoing Primary Coronary Artery Surgery

Hadadzadeh

Mirahmadi

Mirzaei

et al. 2019

JTHC

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The Prognostic Value of Previous Coronary Stent Implantation in Patients Undergoing Myocardial Revascularization Surgery

Villaescusa-Catalan

Rodríguez-Capitán

Sánchez

et al. 2023

CVP

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Background: Currently, there are studies underway to determine whether coronary stent implantation with percutaneous transluminal coronary angioplasty prior to a coronary artery bypass graft (CABG) influences the prognosis of surgery. The aim of this study was to assess both the need for future revascularisation or all-cause mortalityas composite endpoint after CABG surgery among patients with a previous stent implantation. Methods: A retrospective, non-randomised study was performed in 721 patients, who underwent CABGin our centre between 2012 and 2017.This single-centre study compared two groups: 1) the previous stent group, patients with previous stent implantation (n=144), and, 2) the non-previous stent group, patients without previous stent implantation (n=577). Results: After a median follow-up of 36 months, the previous stent group presented a decreased combined event-free survival at 1, 3 and 5 years compared with the non-previous stent group (67.4, 43.5 and 23.0%vs 91.0, 80.3 and 63.0%, respectively; p<0.01). There was also higher mortality in the previous stent groupthan in the non-previous stentgroup (96.1, 90.5 and 79.4 vs 91.9, 75.9 and 51.0, respectively; p=0.01). The multivariable analysis of demographics, baseline comorbidity and surgical data showed previous stent implantation as an independentpredictorof the composite endpoint (Hazard Ratio=3.00 and 95% confident interval=2.09-4.32; p<0.01). Conclusions: Patients with percutaneous coronary intervention prior to CABG present higher comorbidities and clinical eventsduring follow-up than those who do not undergo stenting.

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Corrélations entre antécédents d’angioplastie coronaire et mortalité précoce après chirurgie coronaire

Cited by 2 publications

References 17 publications

Comparison of Short-Term Results between Patients Undergoing Coronary Artery Bypass Graft with a Stent-Placement History and Patients Undergoing Primary Coronary Artery Surgery

Comparison of Short-Term Results between Patients Undergoing Coronary Artery Bypass Graft with a Stent-Placement History and Patients Undergoing Primary Coronary Artery Surgery

The Prognostic Value of Previous Coronary Stent Implantation in Patients Undergoing Myocardial Revascularization Surgery

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