Emergency Coronary Artery Bypass Surgery for Failed Percutaneous Coronary Angioplasty
Population
699 patients requiring emergency coronary artery bypass after failed elective percutaneous coronary…
Design
Cohort
Follow-up
5 years
Authors
Discussion
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Member takes
Implication
Supports emergency CABG after failed PCI; extends observational survival data but leaves open need for randomized confirmation.
Structured PICO
P
Population
699 patients requiring emergency coronary artery bypass after failed elective percutaneous coronary angioplasty between September 1980 and December 1990 (representing 4% of 9860 patients having elective procedures). 82% had acute refractory myocardial ischemia.
I
Intervention
Emergency coronary artery bypass surgery
O
Outcome
Hospital mortality ratehard clinical
Emergency coronary artery bypass surgery for failed percutaneous coronary angioplasty is associated with a low hospital mortality rate and excellent long-term survival, despite a high incidence of early acute myocardial infarction in patients with refractory ischemia.
Cite This Study
Craver et al. (1992) studied this question.