التفاصيل البيبلوغرافية
| العنوان: |
Emergency coronary artery bypass surgery after chronic total occlusion percutaneous coronary intervention: Insights from the PROGRESS-CTO registry. |
| المؤلفون: |
Mutlu, Deniz1 (AUTHOR), Rempakos, Athanasios1 (AUTHOR), Alexandrou, Michaella1 (AUTHOR), Al-Ogaili, Ahmed1 (AUTHOR), Gorgulu, Sevket2 (AUTHOR), Choi, James W.3 (AUTHOR), Elbarouni, Basem4 (AUTHOR), Khatri, Jaikirshan J.5 (AUTHOR), Jaffer, Farouc6 (AUTHOR), Riley, Robert7 (AUTHOR), Smith, A.J. Conrad8 (AUTHOR), Davies, Rhian9 (AUTHOR), Frizzel, Jarrod10 (AUTHOR), Patel, Mitul11 (AUTHOR), Koutouzis, Michalis12 (AUTHOR), Tsiafoutis, Ioannis12 (AUTHOR), Rangan, Bavana V.1 (AUTHOR), Mastrodemos, Olga C.1 (AUTHOR), Sandoval, Yader1 (AUTHOR), Burke, M. Nicholas1 (AUTHOR) |
| المصدر: |
International Journal of Cardiology. Jun2024, Vol. 405, pN.PAG-N.PAG. 1p. |
| مستخلص: |
Emergency coronary artery bypass surgery (eCABG) is a serious complication of chronic total occlusion (CTO) percutaneous coronary artery intervention (PCI). We examined the incidence and outcomes eCABG among 14,512 CTO PCIs performed between 2012 and 2023 in a large multicenter registry. The incidence of eCABG was 0.12% (n = 17). Mean age was 68 ± 6 years and 69% of the patients were men. The most common reason for eCABG was coronary perforation (70.6%). eCABG patients had larger target vessel diameter (3.36 ± 0.50 vs. 2.90 ± 0.52; p = 0.003), were more likely to have moderate/severe calcification (85.7% vs. 45.8%; p = 0.006), side branch at the proximal cap (91.7% vs. 55.4%; p = 0.025), and balloon undilatable lesions (50% vs. 7.4%; p = 0.001) and to have undergone retrograde crossing (64.7% vs. 30.8%, p = 0.006). eCABG cases had lower technical (35.3% vs. 86.7%; p < 0.001) and procedural (35.3% vs. 86.7%; p < 0.001) success and higher in-hospital mortality (35.3% vs. 0.4%; p < 0.001), coronary perforation (70.6% vs. 4.6%; p < 0.001), pericardiocentesis (47.1% vs. 0.8%; p < 0.001), and major bleeding (11.8% vs. 0.5%; p < 0.001). The incidence of eCABG after CTO PCI was 0.12% and associated with high in-hospital mortality (35%). Coronary perforation was the most common reason for eCABG. • Emergency coronary artery bypass surgery (eCABG) is a serious complication of CTO PCI. • The incidence of eCABG after CTO PCI was 0.12% and associated with high in-hospital mortality in a large multi-center CTO PCI registry. • Coronary perforation was the most common reason for eCABG. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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