Corrélations entre antécédents d’angioplastie coronaire et mortalité précoce après chirurgie coronaire |
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Authors: | W. Ghodbane W. Ragmoun R. Arbi W. Brahem C. Sahraoui M. Lejmi K. Taamallah H. Massoudi A. Lebbi M. Ziadi H. Lahdhili M. Bey S. Chenik |
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Affiliation: | 1. Service de chirurgie cardiothoracique, hôpital militaire de Tunis, 1008 Mont-Fleury, Tunis, Tunisie;2. Service de réanimation cardiothoracique, hôpital militaire de Tunis, 1008 Mont-Fleury, Tunis, Tunisie |
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Abstract: | BackgroundIn this study, we examine the effect of previous percutaneous intervention on the rate of adverse perioperative outcome in patients undergoing coronary artery bypass graft surgery (CABG).MethodsOutcomes of 240 CABG patients, collected consecutively in an observational study, were compared. Gp A (n = 35) had prior PCI before CABG and Gp B (n = 205) underwent primary CABG.ResultsStatistically significant results were obtained for the following preoperative criteria: previous myocardial infarction: 48.6% vs 36.6% (P = 0.003), distribution of CAD (P = 0.0001), unstable angina: 45.7% vs 39% (P = 0.04). For intraoperative data, the total number of established bypasses was 2.6 (GpA) vs 2.07 (Gp B) (P = 0.017), with the number of arterial bypass grafts being: 20% vs 13% (P = ns). Regarding the postoperative course, no significant difference in troponine I rate, 24-hour bleeding: 962 ml (Gp A) vs 798 ml (Gp B) (P = 0.004), transfusion (PRBC unit): 3.63 (Gp A) vs 2.5 (Gp B) (P = 0.006). Previous PCI emerged as an independent predictor of postoperative in-hospital mortality (OR 2.24, 95% CI [1.52–2.75], P < 0.01).ConclusionPatients with prior PCI presented for CABG with more severe CAD. Thirty-day mortality and morbidity were significantly higher in patients with prior PCI. |
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Keywords: | Angioplastie Chirurgie coronarienne Ré sultats |
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