Document Detail

Emergency coronary artery bypass surgery after failed percutaneous transluminal coronary angioplasty.
MedLine Citation:
PMID:  10935769     Owner:  NLM     Status:  MEDLINE    
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.
J J Andreasen; P E Mortensen; L I Andersen; H C Arendrup; L B Ilkjaer; M Kjøller; P Thayssen
Related Documents :
9704699 - Coronary flow reserve may predict myocardial recovery after myocardial infarction in pa...
11317099 - Effect of specialty and nationality on panel judgments of the appropriateness of corona...
11703949 - Importance of time to reperfusion on outcomes with primary coronary angioplasty for acu...
9973019 - A randomized trial comparing the impact of a nonionic (iomeprol) versus an ionic (ioxag...
11685979 - Balancing the benefits of primary angioplasty against the benefits of thrombolytic ther...
1282609 - Myocardial stunning following coronary angioplasty: protective effects of calcium-chann...
22386289 - Assessment of left ventricular hypertrophy in a trained athlete: differential diagnosis...
7698959 - Surgical indications and treatment of mitral valve disease associated with secundum atr...
20802129 - Protease corin expression and activity in failing hearts.
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    
Department of Cardiothoracic Surgery, Aalborg Hospital, Denmark.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary*
Cardiopulmonary Resuscitation
Coronary Artery Bypass*
Coronary Disease / mortality,  therapy*
Hospital Mortality
Middle Aged
Myocardial Infarction / etiology,  mortality,  surgery
Patient Care Team
Survival Analysis
Treatment Failure
Comment In:
Scand Cardiovasc J. 2000 Jun;34(3):227-8   [PMID:  10935765 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  New aspects of myocardial oxygen consumption. Invited review.
Next Document:  Ischaemic preconditioning has a beneficial effect on left ventricular haemodynamic function after a ...