Intervenção Coronariana Percutânea prévia como fator de risco para Revascularização Miocárdica

Lisboa, Luiz Augusto Ferreira; Mejía, Omar Asdrúbal Vilca; Dallan, Luís Alberto Oliveira; Moreira, Luíz Felipe Pinho; Puig, Luiz Bóro; Jatene, Fábio Biscegli; Stolf, Noedir Antônio Groppo

doi:10.1590/s0066-782x2012005000057

Cited by 22 publications

(12 citation statements)

References 42 publications

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“…Mortality was 8% in our study, which was similar to many series such as Luiz and associates who had 9.3% mortality 15 , Yu-Ting, and coworkers who had 8.2% mortality 13 and Sandra and coworkers who had 9% mortality. 14 Our patients had 38% ISR, which is in agreement with the study carried out by Sohrab and collaborators, 12 who had 28% ISR.…”

Section: Discussionsupporting

confidence: 91%

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Surgical Outcome of Coronary Artery Bypass Graft in Patients with Previous Coronary Stenting

Mohamed

Gamil

Refaie

et al. 2020

Al-Azhar International Medical Journal

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Background: With the advancement of percutaneous coronary interventions, patients are presenting to coronary artery bypass grafting (CABG) older, with several co-morbidities and with prior coronary stenting. The outcome of surgery after stenting continues to be debated. We evaluated the surgical outcome of coronary artery bypass grafting in patients with previous coronary stenting. Material and Methods: This prospective cohort study included 50 patients with previous coronary stent who underwent CABG between February 2016 and June 2017. Thirty-eight patients were males (76%), and the mean age was 57.66±8.81 years. The mean ejection fraction was 41.43±9.25%. Forty-six patients (92%) had previous one stent, and 4 patients (8%) had 2 stents. Results: Nineteen patients had in-stent restenosis (38%), and 31 patients had new lesions (62%). Seven patients had lesions distal to the site of the stent (14%).The mean cardiopulmonary bypass time was 102.66±25.34 minutes. Two patients needed an intraoperative intra-aortic pump and four in the ICU. Five patients (10%) developed acute myocardial infarction. Operative mortality occurred in 4 patients (8%); one patient (2%) had an acute renal failure. Ejection fraction at 6 months postdischarge showed an increase compared to the preoperative value (41.43±9.25%-44.78±6.99%, P= 0.013).Mortality occurred more frequently in patients with IABP and in patients who had MI and renal failure. Mortality was not associated with in-stent stenosis. Conclusions: Coronary artery bypass grafting in patients with prior coronary stenting could be associated with increased morbidity and mortality. Proper management of coronary artery disease is essential to decrease the risk of future intervention.

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Section: Discussionsupporting

confidence: 91%

“…In our study, the cardiopulmonary bypass time was 102.66±25.34 minutes, and aortic cross-clamp time was 61.82±20.89 min. A longer time was consumed in our patients compared to other series, [14][15] which could be attributed to the more dissection, severe distal coronary arteries disease, and the use of coronary artery patch.…”

Section: Discussionmentioning

confidence: 59%

Surgical Outcome of Coronary Artery Bypass Graft in Patients with Previous Coronary Stenting

Mohamed

Gamil

Refaie

et al. 2020

Al-Azhar International Medical Journal

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“…Moreover, patient-reported previous stent use in the first moment was none in the first period and 5.8% in the second moment [ 18 ] . Regarding the 1099 patients who underwent CABG surgery at the Instituto do Coração (Heart Institute) in São Paulo between May 2007 and June 2009, 14.6%had undergone previous coronary angioplast [ 19 ] . Coronary angiography showed that 77.3% of the patients had severe obstructive lesions in 2 or 3 arteries, a proportion that was practically identical to that reported in a recent study conducted in southern Brazil [ 20 ] .…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Coronary Artery Bypass Surgery in the Hospital Beneficência Portuguesa de São Paulo

Sousa¹,

Fichino²,

Silva³

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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IntroductionThe knowledge of the prevalence of risk factors and comorbidities, as well as the evolution and complications in patients undergoing coronary artery bypass graft allows comparison between institutions and evidence of changes in the profile of patients and postoperative evolution over time.ObjectiveTo profile (risk factors and comorbidities) and clinical outcome (complications) in patients undergoing coronary artery bypass graft in a national institution of great surgical volume.MethodsA retrospective cohort study of patients undergoing coronary artery bypass graft in the hospital Beneficência Portuguesa de São Paulo, from July 2009 to July 2010.ResultsWe included 3,010 patients, mean age of 62.2 years and 69.9% male. 83.8% of patients were hypertensive, 36.6% diabetic, 44.5% had dyslipidemia, 15.3% were smokers, 65.7% were overweight/obese, 29.3% had a family history of coronary heart disease. The expected mortality calculated by logistic EuroSCORE was 2.7%. The isolated CABG occurred in 89.3% and 11.9% surgery was performed without cardiopulmonary bypass. The most common complication was cardiac arrhythmia (18.7%), especially acute atrial fibrillation (14.3%). Pneumonia occurred in 6.2% of patients, acute renal failure in 4.4%, mediastinites in 2.1%, stroke in 1.8% and AMI in 1.2%. The in-hospital mortality was 5.4% and in isolated coronary artery bypass graft was 3.5%. The average hospital stay was 11 days with a median of eight days (3-244 days).ConclusionThe profile of patients undergoing coronary artery bypass graft surgery in this study is similar to other published studies.

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“…So cardiac surgeons are faced to a new concept; coronary artery bypass grafting (CABG) to stented coronary vessels. Patients undergoing CABG, with the previously stented coronary vessels have higher morbidity and mortality rates [2]. Besides, during CABG, open coronary artery stent-is a dilemma and controversy exists for intervention.…”

Section: Introductionmentioning

confidence: 99%

Early Coronary Artery Bypass Grafting Following Life-Saving Percutaneous Coronary Intervention

Yay¹

2014

Ann Clin Anal Med

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The mean time interval between percutaneous coronary intervention and coronary artery bypass grafting was found to be statistically significant regarding stent patency (p=0.007). Discussion: Bypass grafting to a previously stented coronary artery may be the relevant approach even if the angiographic findings are normal, because intraoperative manipulation and systemic effects of cardiopulmonary bypass if used will result in deformity or occlusion of the stent.

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Intervenção Coronariana Percutânea prévia como fator de risco para Revascularização Miocárdica

Abstract: Background: Percutaneous coronary intervention (PCI) has increased as the initial revascularization strategy in chronic coronary artery disease. Consequently, more patients undergoing coronary artery bypass grafting (CABG) have history of coronary stent.

Cited by 22 publications

References 42 publications

Surgical Outcome of Coronary Artery Bypass Graft in Patients with Previous Coronary Stenting

Surgical Outcome of Coronary Artery Bypass Graft in Patients with Previous Coronary Stenting

Epidemiology of Coronary Artery Bypass Surgery in the Hospital Beneficência Portuguesa de São Paulo

Early Coronary Artery Bypass Grafting Following Life-Saving Percutaneous Coronary Intervention

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