Perctuaneous coronary intervention in post coronary artery bypass grafting.the clinical outcome of two different strategies in dealing with single remaining vessel
Joint Authors
Abu al-Aynayn, Fatimah
Zaki, Amr
al-Sharqawi, Iman M.
al-Beltagui, Sharif
Sadka, Muhammad
Ayman, Muhammad
Wajdi, Sharif
Subhi, Muhammad
Source
Journal of the Medical Research Institute
Issue
Vol. 28, Issue 1 (31 Mar. 2007), pp.54-58, 5 p.
Publisher
Alexandria University Medical Research Institute
Publication Date
2007-03-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background : Percutaneous Coronary Intervention (PCI) in a patient who had previously undergone coronary artery bypass graft (CABG) surgery and come back with multivessel disease is a challenging procedure.
However, if the patient who had CABG surgery returns back with occluded all conduit vessels except only one artery having critical stenosis this is the great caveat.
Objectives : In the present trial we sought to study the impact of two different percutaneous revascularization strategies in those patients.
Methods : Between October 2000 and October 2006, 35 patients who had last single remaining vessel (SRV) disease and previously had a CABG surgery were the subjects of this study.
Group 1 comprised those on whom PCI was performed for this SRV only (20 patients), while 15 patients represented group 2 where PCI was directed to the SRV besides opening at least one of the other occluded arteries.
Results : The in-hospital outcome was very good in both groups, however, there was less major adverse events (MACE) in group 1 than group 2[0 % vs.
20 %, P = 0.069].
At 30-day there was no any significant difference between both groups as regards the incidence of MACE[10 % vs.
13.2 %, P = 0.58].
After 12 months, mortality was [13.6 % vs.
0 %, P = 0.26].
There was no incidence of myocardial infarction among either groups and target vessel revascularization was[9.1 % vs.
33.3 %, P = 0.098].
At long-term follow-up the second revascularization strategy had a greater impact on the improvement of the left ventricular systolic function[EF].
Conclusion : The feasibility of PCI in these high risk groups of patients with last single remaining vessel disease, with either strategy, is possible and offers a good remedy when medical therapy fails in patients who had a previous CABG.
American Psychological Association (APA)
Zaki, Amr& al-Sharqawi, Iman M.& al-Beltagui, Sharif& Sadka, Muhammad& Ayman, Muhammad& Abu al-Aynayn, Fatimah…[et al.]. 2007. Perctuaneous coronary intervention in post coronary artery bypass grafting.the clinical outcome of two different strategies in dealing with single remaining vessel. Journal of the Medical Research Institute،Vol. 28, no. 1, pp.54-58.
https://search.emarefa.net/detail/BIM-69080
Modern Language Association (MLA)
Zaki, Amr…[et al.]. Perctuaneous coronary intervention in post coronary artery bypass grafting.the clinical outcome of two different strategies in dealing with single remaining vessel. Journal of the Medical Research Institute Vol. 28, no. 1 (2007), pp.54-58.
https://search.emarefa.net/detail/BIM-69080
American Medical Association (AMA)
Zaki, Amr& al-Sharqawi, Iman M.& al-Beltagui, Sharif& Sadka, Muhammad& Ayman, Muhammad& Abu al-Aynayn, Fatimah…[et al.]. Perctuaneous coronary intervention in post coronary artery bypass grafting.the clinical outcome of two different strategies in dealing with single remaining vessel. Journal of the Medical Research Institute. 2007. Vol. 28, no. 1, pp.54-58.
https://search.emarefa.net/detail/BIM-69080
Data Type
Journal Articles
Language
English
Notes
Include bibliographical references : p. 56-58
Record ID
BIM-69080