Document Detail


Emergency coronary artery bypass surgery after failed percutaneous transluminal coronary angioplasty.
MedLine Citation:
PMID:  10935769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Coronary complications caused by percutaneous transluminal coronary angioplasty (PTCA) may necessitate emergency coronary artery bypass grafting (CABG). In 1994-1998, 132 patients (1.5% of the patients registered in the Danish PTCA registry) underwent CABG within 24 h because of angioplasty complications. We reviewed the files of 86 patients who had emergency operations within 6 h and found that 35% suffered from 1-vessel disease. Fifty-eight percent were taken directly to the operating room from the cardiovascular laboratory, and 13% were given preoperative cardiovascular resuscitation. The vessels most frequently injured were the right coronary artery and the left anterior descending branch (LAD). The patients received a mean of 2.4 coronary bypasses each. Forty-three percent of the patients with lesions of the left main coronary artery and/or the LAD received a vein graft to the LAD. A perioperative Q-wave myocardial infarction developed in 51% of the patients. The in-hospital mortality rate was 12%. These results are inferior to those obtained after elective surgery. Local cardiothoracic backup is vital when PTCA is performed in an unselected patient group.
Authors:
J J Andreasen; P E Mortensen; L I Andersen; H C Arendrup; L B Ilkjaer; M Kjøller; P Thayssen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian cardiovascular journal : SCJ     Volume:  34     ISSN:  1401-7431     ISO Abbreviation:  Scand. Cardiovasc. J.     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2001-01-08     Completed Date:  2001-01-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9708377     Medline TA:  Scand Cardiovasc J     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  242-6     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, Aalborg Hospital, Denmark. jjandreasen@dadlnet.dk
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angioplasty, Transluminal, Percutaneous Coronary*
Cardiopulmonary Resuscitation
Coronary Artery Bypass*
Coronary Disease / mortality,  therapy*
Denmark
Emergencies*
Female
Hospital Mortality
Humans
Male
Middle Aged
Myocardial Infarction / etiology,  mortality,  surgery
Patient Care Team
Survival Analysis
Treatment Failure
Comments/Corrections
Comment In:
Scand Cardiovasc J. 2000 Jun;34(3):227-8   [PMID:  10935765 ]

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