Control angiography for perioperative myocardial Ischemia after coronary surgery: meta-analysis

Journal of Cardiothoracic Surgery
Fausto BiancariDebora Brascia

Abstract

Perioperative myocardial ischemia (PMI) in patients undergoing coronary artery bypass grafting (CABG) is associated with poor outcome. The aim of this study was to pool the available data on the outcome after control angiography and repeat revascularization in patients with perioperative myocardial ischemia (PMI) after coronary artery bypass grafting (CABG). A literature review was performed through PubMed, Scopus, ScienceDirect and Google Scholar to identify studies published since 1990 evaluating the outcome of PMI after CABG. Nine studies included 1104 patients with PMI after CABG and 1056 of them underwent control angiography early after CABG. Pooled early mortality after reoperation for PMI without control angiography was 43.6% (95%CI 29.7-57.6%) and 79.8% of them (95%CI 64.4-95.2%) had an acute graft failure detected at reoperation. Among patients who underwent control angiography for PMI, 31.7% had a negative finding at angiography (95%CI 25.6-37.8%) and 62.1% had an acute graft failure (95%CI 56.6-67.6%). Repeat revascularization was performed after early control angiography in 46.3% of patients (95%CI 39.9-52.6%; 54.2% underwent repeat surgical revascularization; 45.8% underwent percutaneous coronary intervention). Poo...Continue Reading

References

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Citations

Jul 1, 2020·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Giulio G StefaniniAndreas Baumbach
Sep 19, 2020·The Annals of Thoracic Surgery·Vikram SharmaFaisal G Bakaeen
Oct 8, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Vladimir V Lomivorotov, Igor A Kozlov
Jul 29, 2021·JTCVS Techniques·Derrick Y Tam, Stephen E Fremes

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

Google Scholar
Scopus
Open Meta - Analyst
ScienceDirect

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