Key result
An audit of PCI complications confirms a very low incidence of the need for emergency CABG, despite an increasingly complex PCI caseload.
Why the study?
Is on-site cardiac surgery necessary for elective and emergency PCI given current rates of emergency CABG?
Observational
Is on-site cardiac surgery necessary for elective and emergency PCI given current rates of emergency CABG?
The very low incidence of emergency CABG post-PCI challenges the guideline requirement for on-site cardiac surgery during PCI procedures.
Should not yet alter on-site surgery requirements for PCI; hypothesis-generating for guideline updates.
The need for on-site cardiac surgery has been a component of guidelines for the practice of elective and emergency percutaneous coronary intervention (PCI). However, proportions of cases requiring emergency coronary artery bypass grafting (CABG) post-PCI have fallen. This audit of complications of PCI confirms the very low incidence of need for emergency CABG, despite increasingly complex PCI caseload. Although the availability of stents/antiplatelet pharmacotherapy probably has contributed to improved PCI outcomes, the avoidance of emergency CABG is not contingent on either extensive use of glycoprotein IIb/IIIa inhibitors or strategies of universal stenting.
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Mishra et al. (2006) conducted an observational in Percutaneous coronary intervention (PCI). Percutaneous coronary intervention (PCI) was evaluated on Need for emergency coronary artery bypass grafting (CABG) post-PCI. An audit of PCI complications confirms a very low incidence of the need for emergency CABG, despite an increasingly complex PCI caseload.
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