Key result
Previous percutaneous coronary intervention with bare metal stents did not significantly affect 1-year total mortality (9% vs 6%, p=0.700) or other postoperative outcomes in patients undergoing elective coronary artery bypass grafting.
Why the study?
Does previous percutaneous coronary intervention impact postoperative outcomes in patients undergoing elective coronary artery bypass grafting?
Cohort (n=100)
No
Does previous percutaneous coronary intervention impact postoperative outcomes in patients undergoing elective coronary artery bypass grafting?
Absolute Event Rate: 9% vs 6%
p-value: p=0.700
Previous bare metal stent implantation does not appear to adversely affect early and midterm clinical outcomes following subsequent elective CABG.
Does not support modified risk stratification for prior BMS before elective CABG; hypothesis-generating and leaves open questions for contemporary stents.
Objective. The widespread use of percutaneous coronary intervention (PCI) has resulted in an increasing number of patients who have undergone prior PCI being referred for coronary artery bypass grafting (CABG). The aim of this study was to determine the association between previous PCI and early and midterm outcomes after CABG.Methods. A total of 54 patients undergoing elective CABG (group 1) between January 2008 and January 2009 were compared to 46 patients who had a history of bare metal stent implantation before CABG (group 2). Mean follow-up was 12 months.Results. The average time interval to CABG following initial PCI was 18.5 months. There was no significant difference in demographic features and risk factors between the two groups (p>0.05). There were also no significant differences in intraoperative and postoperative data, and no significant differences for in-hospital mortality, cardiac mortality and total mortality and in the number of rehospitalizations for cardiac or for all-cause reasons (p>0.05). Conclusion. In this study, previous PCI did not significantly influence the outcomes of CABG in a 12-month follow-up period.
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Yalçın et al. (2016) conducted a cohort in Coronary artery disease requiring elective CABG (n=100). Previous percutaneous coronary intervention (PCI) vs. No previous PCI (CABG alone) was evaluated on Total mortality at 1 year (p=0.700). Previous percutaneous coronary intervention with bare metal stents did not significantly affect 1-year total mortality (9% vs 6%, p=0.700) or other postoperative outcomes in patients undergoing elective coronary artery bypass grafting.
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