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Year : 2019  |  Volume : 32  |  Issue : 4  |  Page : 1318-1322

Short-term results of coronary artery bypass grafting for vessels with previous percutaneous coronary intervention

1 Department of Cardio-Thoracic Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of Cardio-Thoracic Surgery, Alexandria Police Authority Hospital, Alexandria, Egypt

Correspondence Address:
Michael Adel Soliman Yousef
Damanhur, Al-Behera 22511
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_201_18

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Objectives To determine whether previous percutaneous coronary intervention (PCI) has a prognostic impact on the outcome of subsequent coronary artery bypass grafting (CABG). Background Interventional cardiologists have a growing role in the treatment of coronary artery diseases due to improvement of technology. Its 'less invasiveness' is more attractive to patients. Around one-third of patients with multivessel disease treated with bare metal stents will require reintervention within few years. CABG and PCI have a long history as invasive options for treating patients with coronary artery disease. The interventional efficacy and relative benefits have been compared in several randomized and observational studies. However, the patients who have undergone successful myocardial revascularization may subsequently require repeat invasive cardiological or surgical intervention. Patients and methods This was a prospective analytical study conducted on 50 consecutive patients with previous PCI indicated for CABG from Police Authority Hospitals and Nasser Institute Hospital and who have undergone CABG in the period between May 2016 and May 2018. These patients collected and were investigated by laboratory tests and radiologically to determine whether previous PCI has a prognostic impact on surgical outcome. Results The mean age was 51.36 ± 8.056 years. The mean number of grafts was 2.84 ± 0.47. Inotropes was used in 13 patients. ICU stay was 72.56 ± 54.44 h, hospital stay was 10.72 ± 3.99 days, and total postoperative complication occurred in 18 (36%) patients, which was perceived as a high morbidity rate. Conclusion Previous PCI has a negative impact on the outcome of subsequent CABG regarding morbidity. However, there was no impact on the postoperative mortality.

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