| Angioplasty in severe heart attack. Anesthesia and general management. | |
| | |
MedLine Citation:
|
PMID: 12024081 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Percutaneous transluminal coronary angioplasty is more and more widely applied for the treatment of acute coronary syndromes. Both if primary employed or following an unsuccessful thrombolytic treatment (rescue angioplasty), it improves the early and late outcome of acute myocardial infarction patients. Anyway, in about 10% of the cases, it fails and must be followed by a coronary artery bypass graft operation. In this case, the patients reach the operating theater with a risk profile that differs from the usual one due to the higher rate of cardiogenic shock (4.5 vs 0.4%), need for intra-aortic balloon pumping (14 vs 0.8%), use of antiaggregants and heparin. METHODS: 3,296 patients who underwent coronary artery bypass graft operation over the last two years were analysed. RESULTS: Despite this, in our population of coronary patients undergone surgical revascularization (3,296 consecutive patients in the last two years), we could not find a worsened outcome in patients being operated after a failed primary percutaneous transluminal coronary angioplasty. CONCLUSIONS: The role of GPIIb-IIIa inhibitors in determining an excessive postoperative bleeding still remains to be defined, but probably mainly depends on the type of drug, its dose, and the time between its administration and the operation. |
| | |
Authors:
|
M Ranucci |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Minerva anestesiologica Volume: 68 ISSN: 0375-9393 ISO Abbreviation: Minerva Anestesiol Publication Date: 2002 Apr |
Date Detail:
|
Created Date: 2002-05-23 Completed Date: 2002-09-03 Revised Date: 2005-11-16 |
Medline Journal Info:
|
Nlm Unique ID: 0375272 Medline TA: Minerva Anestesiol Country: Italy |
Other Details:
|
Languages: eng Pagination: 192-5 Citation Subset: IM |
Affiliation:
|
Istituto Policlinico S. Donato, Department of Cardiothoracic Anesthesia, San Donato Milanese, Milan, Italy. cardioanestesia@virgilio.it |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acute Disease Anesthesia* Angioplasty, Transluminal, Percutaneous Coronary* Coronary Artery Bypass Coronary Disease / therapy* Humans Platelet Aggregation Inhibitors / therapeutic use Risk Assessment Treatment Failure Treatment Outcome |
| Chemical | |
Reg. No./Substance:
|
0/Platelet Aggregation Inhibitors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Thrombolytic therapy during cardiopulmonary resuscitation.
Next Document: Management of acute heart failure.