Importance of complete revascularization in performance of the coronary bypass operation

Jones, Ellis L.; Craver, Joseph M.; Guyton, Robert A.; Bone, David K.; Hatcher, Charles R.; Riechwald, Norman

doi:10.1016/s0002-9149(83)80003-4

Cited by 188 publications

(78 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Regarding the clinical relevance of angiographic CR, previous studies have shown conflicting results. Some reports in the pre‐DES era showed the clear benefit of angiographic CR rather than IR, and adverse clinical events related to the residual disease after PCI 3, 4, 5, 6, 7, 8. However, other studies reported unclear benefit of angiographic CR over IR 15, 16, 17.…”

Section: Discussionmentioning

confidence: 99%

“…Although previous studies suggested that angiographic complete revascularization (CR) was more advantageous than incomplete revascularization (IR) and residual disease was associated with adverse clinical outcome after PCI,3, 4, 5, 6, 7, 8 the evidence regarding the benefit of angiographic CR over IR has been limited in CKD patients with multivessel CAD. Given the increasing prevalence of CKD, it would be an important issue to clarify the safety and efficacy of angiographic CR in this high‐risk population 1, 9.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Differential Clinical Outcomes Between Angiographic Complete Versus Incomplete Coronary Revascularization, According to the Presence of Chronic Kidney Disease in the Drug‐Eluting Stent Era

Kim

Lee

Choi

et al. 2018

JAHA

View full text Add to dashboard Cite

BackgroundThere are limited data regarding the prognostic impact of angiographic complete revascularization (CR) in patients with chronic kidney disease (CKD). We sought to investigate the differential prognostic impact of angiographic CR over incomplete revascularization (IR), according to the presence of CKD in the drug‐eluting stent era.Methods and ResultsBetween 2003 and 2011 at Samsung Medical Center, consecutive patients with multivessel disease were stratified by the presence of CKD (estimated glomerular filtration rate <60 mL/min per 1.73 m2) and classified according to angiographic CR (residual SYNTAX score=0) or IR. Clinical outcomes were compared between angiographic CR and IR, stratified by the presence of CKD. Primary outcome was patient‐oriented composite outcomes (POCO, a composite of all‐cause death, myocardial infarction, any revascularization) at 3 years. Inverse probability weighting was performed between the CR and IR groups. A total of 3224 patients were eligible for analysis: 2295 without CKD; 929 with CKD. Among non‐CKD patients, angiographic CR showed a significantly lower risk of POCO than IR (17.2% versus 21.7%, adjusted hazard ratio 0.76, 95% confidence interval, 0.62–0.95, P=0.014), mainly driven by a significantly lower risk of any revascularization. Among CKD patients, however, angiographic CR was associated with a significantly higher risk of POCO than IR (37.7% versus 28.4%, adjusted hazard ratio 1.42, 95% confidence interval, 1.08%–1.85%, P=0.011), mainly driven by a significantly higher risk of nonfatal target vessel myocardial infarction.ConclusionsAngiographic CR was associated with reduced risk of POCO than IR in patients without CKD; however, it was associated with a significantly higher risk of POCO and nonfatal myocardial infarction in CKD patients.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Differential Clinical Outcomes Between Angiographic Complete Versus Incomplete Coronary Revascularization, According to the Presence of Chronic Kidney Disease in the Drug‐Eluting Stent Era

Kim

Lee

Choi

et al. 2018

JAHA

View full text Add to dashboard Cite

show abstract

“…The concept of complete myocardial revascularization gained strength in cardiology because of the higher incidence of late deaths, recurrence of angina, myocardial infarction, and reoperations in patients treated incompletely 5,6 . Improvement in the results of myocardial revascularization caused by a larger experience, by the development of methods of myocardial protection, and by the use of the internal thoracic artery has allowed its application in patients Data between parentheses are percentages; * -statistically significant data; ** -three or more risk factors for coronary heart disease; AMIacute myocardial infarction; MR-myocardial revascularization; LM left main disease; EF-ejection fraction.…”

Section: Discussionmentioning

confidence: 99%

Myocardial revascularization with coronary endarterectomy. Stratification of risk factors for early mortality

Atik¹,

Dallan²,

Oliveira³

et al. 2000

Arq. Bras. Cardiol.

View full text Add to dashboard Cite

Objective -To determine the risk factors for mortality related to myocardial revascularization when performed in association with coronary endarterectomy. (<0.001; 9.283), female sex (0.01; 3.111), acute myocardial infarction (0.02; 3.546), ejection fraction <35% (<0.001; 5.89), and previous myocardial revascularization (<0.001; 4.295). Methods - Conclusion -Coronary endarterectomy is related to higher mortality, and the risk factors involved are important elements of a poor outcome.

show abstract

“…Various reports had already demonstrated a better prognosis after complete revascularization in patients submitted to CABG because of anginal symptoms, particularly if they had three-vessel CAD and LV dysfunction (25)(26)(27). So far, however, the issue has not been examined in patients in whom LV dysfunction is the main indication to CABG, and in such patients the superiority of surgery over medical therapy is still debated (28).…”

Section: Discussionmentioning

confidence: 99%

Prognostic implications of Tc-99m sestamibi viability imaging and subsequent therapeutic strategy in patients with chronic coronary artery disease and left ventricular dysfunction

Sciagra¹,

Pellegri²,

Pupi³

et al. 2001

ACC Current Journal Review

View full text Add to dashboard Cite

Importance of complete revascularization in performance of the coronary bypass operation

Cited by 188 publications

References 9 publications

Differential Clinical Outcomes Between Angiographic Complete Versus Incomplete Coronary Revascularization, According to the Presence of Chronic Kidney Disease in the Drug‐Eluting Stent Era

Differential Clinical Outcomes Between Angiographic Complete Versus Incomplete Coronary Revascularization, According to the Presence of Chronic Kidney Disease in the Drug‐Eluting Stent Era

Myocardial revascularization with coronary endarterectomy. Stratification of risk factors for early mortality

Prognostic implications of Tc-99m sestamibi viability imaging and subsequent therapeutic strategy in patients with chronic coronary artery disease and left ventricular dysfunction

Contact Info

Product

Resources

About