OUTCOMES OF PERCUTANEOUS CORONARY INTERVENTION IN PATIENNTS WITH AND WITHOUT PRIOR CORONARY ARTERY BYPASS GRAFTING

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SALARIFAR M.; KASAEIAN S.E.; KAZEMI SALEH D.; ALI DOUSTI M.; HAJI ZEYNALI A.M.; RAEISI DEHKORDI MARIA

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Journal: Journal of Medical Council of Iran Year:2008 | Volume:26 | Issue:3 Page(s): 336-347

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Title

OUTCOMES OF PERCUTANEOUS CORONARY INTERVENTION IN PATIENNTS WITH AND WITHOUT PRIOR CORONARY ARTERY BYPASS GRAFTING

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Abstract

Background: This study was designed to compare the in-hospital clinical outcomes and 9-month follow-up of percutanous coronary intervention (PCI) in patients with and without history of coronary artery bypass grafting (CABG).Materials and Methods: 1979 patients who had undergone coronary angioplasty with 9-month follow-up were enrolled into this study. Patients were divided into two groups, with a history of CABG (54 patients) and no history of CABG (1929 patients). Baseline, clinical, and technical characteristics, and short- and long-term outcomes of PCI were compared between groups. Results: Patients with a history of CABG had lower ejection fraction (p=0.001). These patients were older (p=0.05) and had higher frequency of prior PCI (p=0.007), positive family history of coronary artery disease (p=0.05), and multivessel disease (p<0.001). Moreover, the percentage of diabetics and men was higher in this group (p=0.02 and p=0.04, respectively). The lesions in patients with history of CABG were more type B2/C (p=0.01). In this group, PCI had been done more on left circumflex territory (p=0.001). However, procedural and clinical success were not significantly different in patients with history of CABG vs. those without prior CABG (94.4% versus 97%, p=0.7 and 92.6% versus 96.1%, p=0.16), respectively. In follow-up, no difference was noted in target vessel revascularization (TVR) and major adverse cardiac events (MACE) in patients with and without history of CABG (4.2% vs. 3.3%, p=0.67 and 4.5% versus 4.7%, p=0.999). Multivariate analysis also did not show prior CABG to be associated with increased TVR (p=0.98, OR=0.99; 95% CI=0.21-4.70).The predictors of TYR, however were PCI on left anterior descending artery (p=0.03, OR=2.06, 95% CI=1.06-3.99) and previous PCI (p<0.001, OR=5.78, 95% CI=2.92-11.44).Conclusions and Recommendations: PCI outcomes are similar in patients with and without history of CABG. However, the outcomes should be studied more precisely in larger patient populations in prospective studies.

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APA: Copy

SALARIFAR, M., KASAEIAN, S.E., KAZEMI SALEH, D., ALI DOUSTI, M., HAJI ZEYNALI, A.M., & RAEISI DEHKORDI, MARIA. (2008). OUTCOMES OF PERCUTANEOUS CORONARY INTERVENTION IN PATIENNTS WITH AND WITHOUT PRIOR CORONARY ARTERY BYPASS GRAFTING. JOURNAL OF MEDICAL COUNCIL OF I.R.I., 26(3), 336-347. SID. https://sid.ir/paper/41229/en

Vancouver: Copy

SALARIFAR M., KASAEIAN S.E., KAZEMI SALEH D., ALI DOUSTI M., HAJI ZEYNALI A.M., RAEISI DEHKORDI MARIA. OUTCOMES OF PERCUTANEOUS CORONARY INTERVENTION IN PATIENNTS WITH AND WITHOUT PRIOR CORONARY ARTERY BYPASS GRAFTING. JOURNAL OF MEDICAL COUNCIL OF I.R.I.[Internet]. 2008;26(3):336-347. Available from: https://sid.ir/paper/41229/en

IEEE: Copy

M. SALARIFAR, S.E. KASAEIAN, D. KAZEMI SALEH, M. ALI DOUSTI, A.M. HAJI ZEYNALI, and MARIA RAEISI DEHKORDI, “OUTCOMES OF PERCUTANEOUS CORONARY INTERVENTION IN PATIENNTS WITH AND WITHOUT PRIOR CORONARY ARTERY BYPASS GRAFTING,” JOURNAL OF MEDICAL COUNCIL OF I.R.I., vol. 26, no. 3, pp. 336–347, 2008, [Online]. Available: https://sid.ir/paper/41229/en

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