Invasive angiography and revascularization in patients with stable angina following prior coronary artery bypass grafting: Results from the East Denmark heart registry

Joshi, Francis R.; Biasco, Luigi; Pedersen, Frants; Holmvang, Lene; Helqvist, Steffen; Tilsted, Hans Henrik; Abildgaard, Ulrik; Kelbæk, Henning; Lassen, Jens Flensted; Jørgensen, Erik; Engstrøm, Thomas

doi:10.1002/ccd.26598

Cited by 6 publications

(3 citation statements)

References 19 publications

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“…Many patients who underwent CABG go through repeated cardiac catheterization and necessitate consequent revascularization therapy [24] [25]. It is essential to note that the distinction between recurrent chest pain due to angina from other causes of chest pain requires investigations and imaging studies of the heart [21].…”

Section: Discussionmentioning

confidence: 99%

Long-Term Outcomes after Coronary Artery Bypass Grafting with Risk Stratification

Abdelrehim,

Al Harbi,

Sandogji

et al. 2023

WJCD

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Background: Risk stratification of long-term outcomes for patients undergoing Coronary artery bypass grafting has enormous potential clinical importance. Aim: To develop risk stratification models for predicting long-term outcomes following coronary artery bypass graft (CABG) surgery. Methods: We retrospectively revised the electronic medical records of 2330 patients who underwent adult Cardiac surgery between August 2016 and December 2022 at Madinah Cardiac Center, Saudi Arabia. Three hundred patients fulfilled the eligibility criteria of CABG operations with a complete follow-up period of at least 24 months, and data reporting. The collected data included patient demographics, comorbidities, laboratory data, pharmacotherapy, echocardiographic parameters, procedural details, postoperative data, in-hospital outcomes, and follow-up data. Our follow-up was depending on the clinical status (NYHA class), chest pain recurrence, medication dependence and echo follow-up. A univariate analysis was performed between each patient risk factor and the long-term outcome to determine the preoperative, operative, and postoperative factors significantly associated with each long-term outcome. Then a multivariable logistic regression analysis was performed with a stepwise, forward selection procedure. Significant (p < 0.05) risk factors were identified and were used as candidate variables in the development of a multivariable risk prediction model. Results: The incidence of all-cause mortality during hospital admission or follow-up period was 2.3%. Other long-term

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Section: Discussionmentioning

confidence: 99%

Long-Term Outcomes after Coronary Artery Bypass Grafting with Risk Stratification

Abdelrehim,

Al Harbi,

Sandogji

et al. 2023

WJCD

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show abstract

“…Recurrent angina symptoms and ischemia have been reported in 18% of patients at 5 years after CABG, which increases to 40–50% at 10 years and up to 60% at 15 years postoperatively [ 5 – 7 ]. Indeed, many prior CABG patients undergo repeat cardiac catheterization and require subsequent revascularization therapy [ 8 , 9 ••, 10 ]. The clinical evaluation and diagnostic work-up of patients with recurrent angina after CABG is challenging.…”

Section: Introductionmentioning

confidence: 99%

“…1 ) [ 11 •, 12 ]. Furthermore, current guideline recommendations on patient management are limited since post-CABG patients have often been underrepresented or excluded in large diagnostic and revascularization trials [ 1 •, 2 •, 10 , 13 , 14 •, 15 •]. Late recurrent angina in patients with prior CABG is common and often requires individualized decision-making by the Heart Team.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic and Management Strategies in Patients with Late Recurrent Angina after Coronary Artery Bypass Grafting

et al. 2022

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Purpose of Review This review will outline the current evidence on the anatomical, functional, and physiological tools that may be applied in the evaluation of patients with late recurrent angina after coronary artery bypass grafting (CABG). Furthermore, we discuss management strategies and propose an algorithm to guide decision-making for this complex patient population. Recent Findings Patients with prior CABG often present with late recurrent angina as a result of bypass graft failure and progression of native coronary artery disease (CAD). These patients are generally older, have a higher prevalence of comorbidities, and more complex atherosclerotic lesion morphology compared to CABG-naïve patients. In addition, guideline recommendations are based on studies in which post-CABG patients have been largely excluded. Summary Several invasive and non-invasive diagnostic tools are currently available to assess graft patency, the hemodynamic significance of native CAD progression, left ventricular function, and myocardial viability. Such tools, in particular the latest generation coronary computed tomography angiography, are part of a systematic diagnostic work-up to guide optimal repeat revascularization strategy in patients presenting with late recurrent angina after CABG.

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Percutaneous coronary intervention of native coronary artery versus saphenous vein graft in patients with prior coronary artery bypass graft surgery: Rationale and design of the multicenter, randomized PROCTOR trial

Winter¹,

Walsh²,

Hanratty³

et al. 2023

American Heart Journal

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Invasive angiography and revascularization in patients with stable angina following prior coronary artery bypass grafting: Results from the East Denmark heart registry

Cited by 6 publications

References 19 publications

Long-Term Outcomes after Coronary Artery Bypass Grafting with Risk Stratification

Long-Term Outcomes after Coronary Artery Bypass Grafting with Risk Stratification

Diagnostic and Management Strategies in Patients with Late Recurrent Angina after Coronary Artery Bypass Grafting

Percutaneous coronary intervention of native coronary artery versus saphenous vein graft in patients with prior coronary artery bypass graft surgery: Rationale and design of the multicenter, randomized PROCTOR trial

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