| Emergency coronary artery bypass surgery after failed percutaneous transluminal coronary angioplasty. | |
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MedLine Citation:
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PMID: 10935769 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article |
Journal Detail:
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Title: Scandinavian cardiovascular journal : SCJ Volume: 34 ISSN: 1401-7431 ISO Abbreviation: Scand. Cardiovasc. J. Publication Date: 2000 Jun |
Date Detail:
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Created Date: 2001-01-08 Completed Date: 2001-01-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9708377 Medline TA: Scand Cardiovasc J Country: NORWAY |
Other Details:
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Languages: eng Pagination: 242-6 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic Surgery, Aalborg Hospital, Denmark. jjandreasen@dadlnet.dk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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Scand Cardiovasc J. 2000 Jun;34(3):227-8
[PMID:
10935765
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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