ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Clifford F. Hughes
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Barakate, M. S.
Right arrow Articles by Hurst, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Barakate, M. S.
Right arrow Articles by Hurst, T.
Related Collections
Right arrow Coronary disease

Ann Thorac Surg 2003;75:1400-1405
© 2003 The Society of Thoracic Surgeons

Original article: cardiovascular

Emergency surgery after unsuccessful coronary angioplasty: a review of 15 years’ experience

Michael S. Barakate, FRACSa, Paul G. Bannon, PhDa, Clifford F. Hughes, AO, FRACSa*, Matthew D. Horton, FRACSa, Ann Callaway, MMgta, Tara Hurst, MAStata

a Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Baird Institute for Heart and Lung Surgical Research, University of Sydney, Sydney, Australia

Accepted for publication December 12, 2002.

* Address reprint requests to Dr Hughes, Cardiothoracic Surgical Unit, Level 8, Page Chest Pavilion, Royal Prince Alfred Hospital, Missenden Rd, Camperdown, NSW 2050, Australia.
e-mail: clifford.hughes{at}email.cs.nsw.gov.au

BACKGROUND: Emergency coronary artery bypass grafting (CABG) is occasionally necessary for failed percutaneous transluminal coronary angioplasty (PTCA). The aim of this study was to assess the outcome of patients receiving emergency CABG after unsuccessful PTCA over a 15-year study period.

METHODS: From January 1982 through December 1996, 74 patients underwent emergency CABG after unsuccessful PTCA (crash group). This group was compared with a matched group of 74 patients having primary elective CABG (control group).

RESULTS: All 74 crash group patients were to have PTCA of one coronary system. After PTCA failure, 58 patients (78.3%) developed electrocardiographic changes of evolving acute myocardial infarction (AMI). The overall rate of AMI was 8.1% for the crash group and 2.7% for the control group. Two patients in the crash group died, with no deaths in the control group. There was no significant difference between mean in-hospital length of stay.

CONCLUSIONS: With prompt, aggressive, and complete myocardial revascularization, patients who required emergency CABG after PTCA failure had an outcome not significantly different from that of patients having elective CABG.




This article has been cited by other articles:


Home page
 J Am Coll CardiolHome page
G. J. Dehmer and D. S. Gantt
Coronary intervention at hospitals without on-site cardiac surgery: are we pushing the envelope too far?
J. Am. Coll. Cardiol., February 4, 2004; 43(3): 343 - 345.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2003 by The Society of Thoracic Surgeons.