Abstract
Previous studies have shown a high incidence of cardiovascular complications when noncardiac surgery (NCS) is performed after coronary stenting. No study has compared the outcomes of NCS after stenting compared with percutaneous transluminal coronary angioplasty (PTCA) alone. The records of all patients who underwent NCS within 3 months of percutaneous coronary intervention at our institution were reviewed for adverse clinical events with the end points of acute myocardial infarction, major bleeding, and death < or = 6 months after NCS. A total of 216 consecutive patients were included in the study. Of these, 122 (56%) underwent PTCA and 94 (44%) underwent stenting. A total of 26 patients (12%) died, 13 in the stent group (14%) and 13 in the PTCA group (11%), a nonsignificant difference. The incidence of acute myocardial infarction and major bleeding was 7% and 16% in the stent group and 6% and 13% in the PTCA group (p = NS), respectively. Significantly more events occurred in the 2 groups when NCS was performed within 2 weeks of percutaneous coronary intervention. In conclusion, our study has demonstrated high rates of perioperative morbidity and mortality after NCS in patients undergoing PTCA alone, as well as stenting. These...Continue Reading
References
Jan 11, 1992·Mayo Clinic Proceedings·K C HuberD R Holmes
Jun 1, 1997·Journal of Vascular Surgery·M T MassieB S Cutler
Nov 5, 1998·Journal of Cardiothoracic and Vascular Anesthesia·A GottliebE J Mascha
Sep 4, 1999·Anesthesia and Analgesia·K L PosnerV Chan
Apr 12, 2000·Journal of the American College of Cardiology·G L KałuzaA E Raizner
Mar 10, 2001·The American Journal of Medicine·S A HassanK A Eagle
Jul 24, 2003·Journal of the American College of Cardiology·Stephanie H WilsonPeter B Berger
Dec 31, 2004·The New England Journal of Medicine·Edward O McFallsWilliam G Henderson
Aug 16, 2005·The American Journal of Cardiology·Emmanouil S BrilakisPeter B Berger
Citations
Nov 10, 2009·Wiener medizinische Wochenschrift·Martin Norbert Vicenzi
Jul 14, 2011·General Thoracic and Cardiovascular Surgery·Makoto SonobeHiroshi Date
Aug 2, 2011·European Heart Journal·Michael A Gaglia, Ron Waksman
Dec 18, 2008·Southern Medical Journal·Jean Marie RuddyBruce Elliott
May 14, 2009·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·W Rottbauer, H A Katus
Nov 24, 2007·American Heart Journal·Jian-Zhong Sun, David Maguire
Jun 19, 2007·International Journal of Cardiology·Haim D DanenbergDan Gilon
Nov 11, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Walter A Tan
Oct 21, 2009·The American Journal of Cardiology·Jan-Peter van KuijkDon Poldermans
Oct 23, 2012·Journal of the American College of Cardiology·Sandeep SinglaBarry F Uretsky
Nov 21, 2009·Journal of the American College of Cardiology·Lee A FleisherJohn F Robb
Oct 24, 2007·Journal of the American College of Cardiology·Lee A FleisherClyde W Yancy
Oct 24, 2007·Journal of the American College of Cardiology·Lee A FleisherUNKNOWN Society for Vascular Surgery
Nov 4, 2009·Circulation·Lee A FleisherJohn F Robb
Sep 29, 2007·Circulation·Lee A FleisherUNKNOWN Society for Vascular Surgery
Sep 29, 2007·Circulation·Lee A FleisherClyde W Yancy
Oct 17, 2007·Circulation·John W RiddellMartial Hamon
May 6, 2010·Circulation. Cardiovascular Interventions·Nicholas L M CrudenUNKNOWN Scottish Coronary Revascularisation Register Steering Committee
Apr 26, 2007·Anesthesiology·Olaf SchoutenDon Poldermans
May 5, 2007·Current Opinion in Anaesthesiology·Olaf SchoutenDon Poldermans
Feb 23, 2008·Anesthesia and Analgesia·Lee A FleisherClyde W Yancy
Sep 25, 2008·Anesthesiology·Gregory A NuttallCharanjit S Rihal
Feb 2, 2017·The Open Orthopaedics Journal·Arvind G Von KeudellElena Losina
Aug 14, 2012·Journal of Cardiovascular Medicine·Roberta RossiniAntonello Gavazzi