18Feb 2017

EFFECT OF PREVIOUS PCI ON RESULTS OF CABG IN MULTIVESSEL DISEASE PATIENTS

  • Cardio-Thoracic Departement National heart institute.
  • Cardiology Department Zagazig University.
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The number of percutaneous coronary interventions (PCI) prior to coronary artery bypass grafting (CABG) increased drastically during the last decade. Patients are referred for CABG with more severe coronary pathology, which may influence postoperative outcome. Methodolgy:-Outcomes of 200 CABG patients were compared (mean follow-up: 3 months). Group I (n = 100) underwent primary CABG and group II (n = 100) had prior PCI before CABG. Result:- Morbidity, were significantly higher in patients with prior PCI but no difference in mortality. Postoperative echo emphasize lower benefit from CABG in patents coming with recurrence CAD post PCI. Conclusion:- With the growing evidence that previous PCI adversely influences the outcome of subsequent CABG, we may expect that prior PCI emerges as a risk factor in new outcome prediction and risk stratification models in cardiac surgery

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[Ahmed Mostafa Omran, Mostafa Mansy, Amr Elprince, Manar .M., Elzaki and Abdel Aziz Gomaa. (2017); EFFECT OF PREVIOUS PCI ON RESULTS OF CABG IN MULTIVESSEL DISEASE PATIENTS Int. J. of Adv. Res. 5 (Feb). 174-180] (ISSN 2320-5407). www.journalijar.com

manar al-Zaki
MD

DOI:

Article DOI: 10.21474/IJAR01/3129      
DOI URL: http://dx.doi.org/10.21474/IJAR01/3129

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