CABG Mortality is Not Influenced by Prior PCI in Low Risk Patients. Issue 4 (5th June 2013)

• Record Type: Journal Article
• Authors: Velicki, Lazar; Cemerlic‐Adjic, Nada; Panic, Gordana; Jung, Robert; Redzek, Aleksandar; Nicin, Svetozar
• Is Part Of: Journal of cardiac surgery. Volume 28:Issue 4(2013:Jul.)
• Page Start: 353
• Page End: 358
• Publication Date: 2013-06-05
• Subjects: Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.12141
• Languages: English
• ISSNs: 0886-0440

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>Abstract</title> <sec id="jocs12141-sec-0001" sec-type="section"> <title>Background and Aims</title> <p>An increasing number of patients referred for coronary artery bypass grafting (CABG) have had prior percutaneous coronary intervention (PCI). We sought to determine whether a relationship exists between increased postoperative mortality and morbidity following CABG procedure in patients with prior PCI.</p> </sec> <sec id="jocs12141-sec-0002" sec-type="section"> <title>Methods</title> <p>Over an 18‐month period, 950 patients having first‐time isolated CABG were divided into two groups based on absence (Group A, 819 patients—86.21%) or presence of a prior PCI (Group B, 131 patients—13.79%).</p> </sec> <sec id="jocs12141-sec-0003" sec-type="section"> <title>Results</title> <p>In the prior PCI population, 74 patients (56.4%) had only one stent, and only 6.8% had multiple admissions for PCI. The overall incidence of three vessel disease in the entire patient population was only 65% and the average ejection fraction was 52%. Multivariate analysis demonstrated age (OR 1.080; 95% CI: 1.020 to 1.145; p = 0.009), left ventricular ejection fraction (OR 0.939; 95% CI: 0.901 to 0.978; p = 0.002), and emergency surgery (OR 0.138; 95% CI: 0.0.045 to 0.424; p = 0.001) as risk factors for 30‐day mortality, while age (OR 1.059; 95% CI: 1.016 to 1.104; p = 0.007) and emergency surgery (OR 0.205; 95% CI: 0.078 to 0.537; p = 0.001) predicted major adverse cardiac events (MACE). Prior PCI did not influence mortality or MACE at 30 days.</p> </sec> <sec id="jocs12141-sec-0004" sec-type="section"> <title>Conclusion</title> <p>In this study involving low risk patients, a PCI prior to CABG did not increase morbidity or mortality. doi: 10.1111/jocs.12141 <italic>(J Card Surg 2013;28:353–358)</italic></p> </sec> </abstract>