Clinical outcome of patients undergoing emergent coronary artery bypass grafting following failed percutaneons coronary intervention in stent era
10.3760/cma.j.issn.0253-3758.2012.01.007
- VernacularTitle:冠心病患者介入治疗失败后行急诊冠状动脉旁路移植术的预后
- Author:
Han-Jun PEI
1
;
Yong-Jian WU
;
Yue-Jin YANG
;
Ji-Lin CHEN
;
Shu-Bin QIAO
;
Bo XU
;
Jian-Jun LI
;
Hai-Bo LIU
;
Jun DAI
;
Ke-Fei DOU
;
Chao-Wei MU
;
Gang Yong SUI
;
Feng LU
;
Jian-Ping XU
;
Sheng-Shou HU
;
Run-Lin GAO
Author Information
1. 北京协和医学院中国医学科学院阜外心血管病医院
- Keywords:
Coronary disease;
Angioplasty,transluminal,percutaneous coronary;
Coronaryartery bypass
- From:
Chinese Journal of Cardiology
2012;40(1):30-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore clinical outcomes of patients undergoing emergent coronary artery bypass grafting(CABG)following failed percutaneous coronary intervention(PCI)in the stent era.Methods Eleven patients who underwent emergent CABG following failed PCI from January,2002 to December 2010 were enrolled.The in-hospital follow-up included cardiac deaths,Q-wave myocardial infarction,kidney failure,and cerebrovascular events.The clinical end-point of out-hospital follow-up was the major adverse cardiac events including death,myocardial infarction,and target lesion revascularization.Results The patients were(61 ±.5)years old.Coronary angiography showed 5 patients had triple vessel lesions.There were 9 target lesions on left anterior descending antery.There were 3(27.3％)severe calcified,4(36.4％)chronic total occlusion,and 4(36.4％)diffused long lesions.Reasons for emergent CABG were dissection (n =5,45.5％),perforation(n =3,27.3％),failure to sufficient predilation(n =1,9.1％),acute closure(n =1,9.1％)and stent loss(n =1,9.1％).The average duration of follow-up was(47 ± 33)months.During in-hospital follow-up,there were 1(9.1％)cardiac death and 2(18.2％)Q wave myocardial infarction.During follow-up after hospital discharge,1 patient(9.1％)died of kidney failure,and there was no rehospitalization due to cardiac events.Conclusions Emergent CABG after failed PCI often happened in patients with complex coronary lesions.The long term outcome of patients requiring emergent CABG after failed PCI was favorable in this cohort.
