| Results of coronary surgery after failed elective coronary angioplasty in patients with prior coronary surgery. | |
| | |
MedLine Citation:
|
PMID: 2229784 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The results of coronary artery bypass surgery after failed elective coronary angioplasty in patients who have undergone prior coronary surgery are unknown. Coronary angioplasty may be performed to relieve angina after surgery either to the native coronary vessels or to grafts. Failure of attempted coronary angioplasty may mandate repeat coronary surgery, often in the setting of acute ischemia. From 1980 to 1989, 1,263 patients with prior coronary bypass surgery underwent angioplasty; of these patients, 46 (3.6%) underwent reoperation for failed angioplasty during the same hospital stay. Of the 46 patients who underwent reoperation, 33 had and 13 did not have acute ischemia. In the group with ischemia, 3 patients (9.1%) died and 14 (42.4%) died or had a Q wave myocardial infarction in the hospital compared with no deaths (p = NS) and no deaths or Q wave myocardial infarction (p = 0.005) in the group without ischemia. At 3 years, the actuarial survival rate was 88 +/- 6% in the group with ischemia, whereas there were no deaths in the group without ischemia (p = NS), and freedom from death or myocardial infarction was 51 +/- 10% in the group with ischemia, versus no events in the group without ischemia (p = 0.006). In most patients with prior coronary bypass surgery, coronary angioplasty was performed without the need for repeat coronary bypass surgery. Should coronary angioplasty fail, reoperation in patients without acute ischemia can be performed with overall patient survival comparable to that of elective reoperative coronary bypass without coronary angioplasty.(ABSTRACT TRUNCATED AT 250 WORDS) |
| | |
Authors:
|
W S Weintraub; C L Cohen; P E Curling; E L Jones; J M Craver; R Guyton; S B King; J S Douglas |
Related Documents
:
|
8837564 - Initial cost of primary angioplasty for acute myocardial infarction. 1572734 - High-risk coronary angioplasty with elective intra-aortic balloon pump support. 2960224 - Percutaneous transluminal coronary angioplasty in patients with prior myocardial infarc... 2959584 - Recurrence of stenosis after first and repeat coronary angioplasty. clinical and angiog... 3351154 - Quantitative assessment of left ventricular wall motion by two-dimensional echocardiogr... 498604 - Prodromal characteristics as indicators of cardiac events in patients hospitalized for ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of the American College of Cardiology Volume: 16 ISSN: 0735-1097 ISO Abbreviation: J. Am. Coll. Cardiol. Publication Date: 1990 Nov |
Date Detail:
|
Created Date: 1990-12-27 Completed Date: 1990-12-27 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8301365 Medline TA: J Am Coll Cardiol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1341-7 Citation Subset: AIM; IM |
Affiliation:
|
Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Angioplasty, Transluminal, Percutaneous Coronary* Combined Modality Therapy Coronary Artery Bypass* / mortality Coronary Disease / mortality, physiopathology, therapy* Electrocardiography Emergencies Female Follow-Up Studies Humans Length of Stay Male Middle Aged Prospective Studies Recurrence Survival Rate |
| Comments/Corrections | |
Comment In:
|
J Am Coll Cardiol. 1990 Nov;16(6):1348-50
[PMID:
2229785
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Detection of restenosis after successful coronary angioplasty: improved clinical decision making wit...
Next Document: Serial left ventricular performance evaluated by cardiac catheterization before, immediately after a...