Comparison of Coronary Artery Bypass Graft-First and Percutaneous Coronary Intervention-First Approaches for 2-Stage Hybrid Coronary Revascularization
| Autor: | Joonkyu Kang, Do Yeon Kim, Kuk Bin Choi, Hyun Song, Hang Jun Choi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Hybrid coronary revascularization medicine.medical_treatment lcsh:Surgery 030204 cardiovascular system & hematology Revascularization Coronary artery disease Percutaneous coronary intervention 03 medical and health sciences Coronary artery bypass surgery 0302 clinical medicine Clinical Research Internal medicine medicine 030212 general & internal medicine cardiovascular diseases Hybrid operation business.industry Perioperative lcsh:RD1-811 medicine.disease Surgery medicine.anatomical_structure surgical procedures operative Conventional PCI Cardiology Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Korean Journal of Thoracic and Cardiovascular Surgery, Vol 50, Iss 4, Pp 247-254 (2017) The Korean Journal of Thoracic and Cardiovascular Surgery |
| ISSN: | 2093-6516 |
| DOI: | 10.5090/kjtcs.2017.50.4.247 |
| Popis: | Background: Hybrid coronary revascularization (HCR) was developed to combine the advantages of coronary artery bypass graft (CABG) with percutaneous coronary intervention (PCI). However, it is still controversial whether it i s more optimal t o perform CABG or PCI first. T he p urpose o f this s tudy was t o compare the clinical outcomes of these 2 approaches. Methods: Eighty patients who underwent HCR from May 2010 to December 2015 were enrolled in this retrospective analysis. The CABG-first group comprised 12 patients and the PCI-first group comprised 68 patients. Outcomes of interest included in-hospital perioperative factors, major adverse cardiac and cerebrovascular events (MACCEs), and the incidence of repeated revascularization, especially for the target vessel lesion. Results: No significant difference was found in the amount of postoperative bleeding (p=0.239). The incidence of MACCEs was similar between the CABG-first and PCI-first groups (1 of 12 [8.3%] vs. 5 of 68 [7.4%], p＞0.999). Repeated revascularization was performed on 3 patients (25%) in the CABG-first and 9 patients (13.2%) in the PCI-first group (p=0.376). Conclusion: There were no significant differences in postoperative and medium-term outcomes between the CABG-first and PCI-first groups. Based on these results, it can be inferred that it is safe to opt for either CABG or PCI as the primary procedure in 2-stage HCR. |
| Databáze: | OpenAIRE |
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