Нospital outcomes of coronary artery bypass grafting in patients with coronary heart disease with previous percutaneous coronary intervention
- Authors: Kremneva L.V.1, Suplotov S.N.1, Abaturova O.V.1, Stognii N.I.1, Shalaev S.V.1
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Affiliations:
- Tyumen State Medical University
- Issue: Vol 94, No 7 (2022)
- Pages: 822-826
- Section: Original articles
- URL: https://journals.rcsi.science/0040-3660/article/view/109720
- DOI: https://doi.org/10.26442/00403660.2022.07.201740
- ID: 109720
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Abstract
Aim. Evaluation of the frequency hospital cardiovascular events in groups of patients with stable angina who underwent percutaneous coronary interventions (PCI) with stenting of the arteries before coronary bypass surgery, or who did not have previous myocardial revascularization.
Materials and methods. The 120 patients with stable angina who underwent routine coronary artery bypass grafting were examined. Group composition: Men 80.8%, age – 58±7.6, duration of coronary heart disease – 6±5.7 years, history of myocardial infarction (MI) 77.5%. Arterial hypertension was present in 92.5%, diabetes mellitus in 12.5% of patients. Multivessel coronary artery disease in 72.5% of patients. 28 (23.4%) patients had previously undergone PCI with stenting of the coronary arteries. The period from PCI to coronary bypass surgery was 20±32.6 months. Coronary bypass surgery on-pump was performed in 88.3%, coronary bypass surgery on off-pump in 11.7%. The number of distal anastomoses ranged from 1 to 4.
Results. There were no differences in clinical and angiographic indicators, pharmacotherapy, and operation characteristics between the groups of patients who were subjected to or did not have PCI before coronary bypass surgery. There were no differences between the analyzed groups of patients in the frequency of cardiac death (0 and 1.1%, p=0.58), non-fatal MI (3.6% and 9.8%, p=0.29), stroke (0 and 1.1%, p=0.58), acute heart failure (11.7% and 34.8%, p=0.06), the number of patients with paroxysms of atrial fibrillation (28.6% and 17.4%, p=0.94), the proportion of patients with resternotomies (3.6% and 3.3%, p=0.94) and gastrointestinal bleeding (3.6% and 4.3%, p=0.86).
Conclusion. PCI with coronary artery stenting, prior to coronary bypass surgery, does not affect the frequency of post-operative hospital cardiovascular and hemorrhagic complications.
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##article.viewOnOriginalSite##About the authors
Lyudmila V. Kremneva
Tyumen State Medical University
Author for correspondence.
Email: KremnevaLV01@gmail.com
ORCID iD: 0000-0001-6331-1218
д-р мед. наук, проф. каф. акушерства, гинекологии и реаниматологии с курсом клинико- лабораторной диагностики ИНПР
Russian Federation, TyumenSergey N. Suplotov
Tyumen State Medical University
Email: KremnevaLV01@gmail.com
ORCID iD: 0000-0002-1736-4084
д-р мед. наук, проф. каф. акушерства, гинекологии и реаниматологии с курсом клинико- лабораторной диагностики ИНПР
Russian Federation, TyumenOlga V. Abaturova
Tyumen State Medical University
Email: KremnevaLV01@gmail.com
ORCID iD: 0000-0002-9426-9734
д-р мед. наук, проф. каф. кардиологии и кардиохирургии с курсом скорой медицинской помощи
Russian Federation, TyumenNikita Iu. Stognii
Tyumen State Medical University
Email: KremnevaLV01@gmail.com
ORCID iD: 0000-0003-3210-8174
канд. мед. наук, доц. каф. кардиологии и кардиохирургии с курсом скорой медицинской помощи
Russian Federation, TyumenSergei V. Shalaev
Tyumen State Medical University
Email: KremnevaLV01@gmail.com
ORCID iD: 0000-0003-2724-4016
д-р мед. наук, проф., заслуженный деятель науки РФ, зав. каф. кардиологии и кардиохирургии с курсом скорой медицинской помощи
Russian Federation, TyumenReferences
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