PMID: 9436566Jan 22, 1998Paper

Factors influencing mortality after emergency coronary artery bypass grafting for failed percutaneous transluminal coronary angioplasty

The Annals of Thoracic Surgery
H L LazarR J Shemin

Abstract

Emergency coronary artery bypass grafting after failed percutaneous transluminal coronary angioplasty is associated with increased mortality. From 1981 through 1995, 117 patients at our institution underwent emergency coronary artery bypass grafting after failed percutaneous transluminal coronary angioplasty, with an in-hospital mortality rate of 13.6%. Univariate and multivariate analyses were used to identify the factors that influenced the risk of death. Univariate analysis revealed that patients who died more often were women and had chronic renal failure, lower ejection fractions, and more diffuse coronary artery disease; less often received an internal mammary artery graft or an antegrade perfusion catheter; required inotropic support in the cardiac catheterization laboratory; and experienced myocardial infarction. Multivariate analysis demonstrated that the need for inotropic support in the cardiac catheterization laboratory was the best predictor of perioperative death. Patients with a reduced ejection fraction in whom percutaneous transluminal coronary angioplasty fails, antegrade perfusion does not produce a response, and myocardial infarction occurs are more likely to die after coronary artery bypass grafting. The ri...Continue Reading

References

Feb 1, 1992·The Annals of Thoracic Surgery·H L LazarR J Shemin
Nov 1, 1992·The Annals of Thoracic Surgery·A M BorkonW A Reed
Feb 11, 1991·The Annals of Thoracic Surgery·M A GreeneC Mavroudis
Mar 1, 1991·The Annals of Thoracic Surgery·C HaanR J Shemin
Jun 1, 1989·The Annals of Thoracic Surgery·K S NaunheimM C Vandormael
Aug 1, 1985·The Annals of Thoracic Surgery·D A KillenW A Reed
Jul 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·N WangL L Bailey
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Mar 1, 1993·The Annals of Thoracic Surgery·W KoO W Isom
Mar 1, 1996·Journal of Cardiac Surgery·L E SamuelsS K Brockman

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Citations

Jul 18, 2002·The Annals of Thoracic Surgery·Johannes M AlbesThorsten Wahlers
May 9, 2003·The Annals of Thoracic Surgery·Michael S BarakateTara Hurst
Dec 10, 1999·The Annals of Thoracic Surgery·H L LazarR J Shemin
Aug 8, 2001·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·H GrubitzschL Eckel
Jun 27, 2003·Journal of Cardiothoracic and Vascular Anesthesia·Bharathi H ScottPeter S A Glass
Apr 25, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Tamer Sallam, Jonathan Tobis
Apr 25, 2006·The Annals of Thoracic Surgery·Constance K HaanT Bruce Ferguson
Mar 12, 2004·Journal of the American College of Cardiology·Mat LotfiPeter H Seidelin
Mar 21, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Fausto BiancariGiovanni Mariscalco
Jan 8, 2019·Journal of the American Heart Association·Alexander VerevkinPiroze M Davierwala

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