Trial finds stenting for multivessel disease is less costly than bypass grafting, but more likely to require repeat revascularisation

2004 ◽  
Vol 8 (3) ◽  
pp. 237-238
Keyword(s):  
Multivessel Disease ◽  
Bypass Grafting ◽  
Repeat Revascularisation

Impact of Previous PCI on Hospital Mortality after Off-Pump Coronary Artery Bypass Grafting in Diabetic Patients with Multivessel Disease

2009 ◽  
Vol 4 (6) ◽  
pp. 334-339 ◽  
Author(s):  
Takeshi Kinoshita ◽  
Tohru Asai ◽  
Yoshitaka Murakami ◽  
Noriyuki Takashima ◽  
Soh Hosoba ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Artery Bypass ◽  
Multivessel Disease ◽  
Diabetic Patients ◽  
Bypass Grafting ◽  
Surgical Mortality ◽  
Off Pump ◽  
Pump Cabg ◽  
Regression Adjustment ◽  
The Impact

Objective Because percutaneous coronary intervention (PCI) has been performed excessively, many patients initially managed with PCI are being referred for coronary artery bypass grafting (CABG). The purpose of this study was to assess the impact of previous PCI on surgical mortality after off-pump CABG in diabetic patients with multivessel disease. Methods Between January 2002 and April 2008, 595 consecutive patients (99.8% off-pump) had isolated CABG by one single surgeon. Of these, 274 patients with diabetes mellitus and multivessel disease were retrospectively analyzed. Patients with previous PCI (n = 79) were compared with patients with no previous PCI (n = 196), and risk-adjusted impact of previous PCI on surgical mortality after CABG was determined using multivariate and propensity score analyses. Results All patients underwent off-pump CABG without conversion to cardiopulmonary bypass during operation. Patients with previous PCI had a significantly higher prevalence of history of myocardial infarction, renal dysfunction, and hemodialysis. Rates of surgical mortality were higher in patients with previous PCI (7.6% versus 1.0%, P = 0.008). After multivariate logistic regression analysis including all potential univariate predictors, previous PCI remained a strong predictor of surgical mortality [odds ratio (OR), 6.9; 95% confidence interval (CI), 1.2 to 42.1; P = 0.035]. After matching and regression adjustment by propensity score, the impact of previous PCI on surgical mortality was similar in direction (matching OR, 6.5; 95% CI, 0.8 to 55.0; P = 0.088; regression adjustment OR, 6.3; 95% CI, 1.2 to 33.6; P = 0.031). Conclusions Previous PCI increases the risk of surgical mortality after off-pump CABG in diabetic patients with multivessel disease.

Identification of candidates for coronary artery bypass grafting admitted with STEMI and Multivessel Disease

2018 ◽  
Vol 19 (6) ◽  
pp. 21-26
Author(s):  
Ramón Rodríguez-Olivares ◽  
José López-Menéndez ◽  
Laura Varela Barca ◽  
Javier Miguelena Hycka ◽  
Rosana Hernández-Antolín ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Multivessel Disease ◽  
Bypass Grafting ◽  
Artery Bypass Grafting

Multiple Versus Single Arterial Coronary Arterial Bypass Grafting Surgery for Multivessel Disease in Atrial Fibrillation

2020 ◽  
Author(s):  
Mariusz Kowalewski ◽  
Michał Pasierski ◽  
Radosław Litwinowicz ◽  
Marian Zembala ◽  
Natalia Piekuś-Słomka ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Multivessel Disease ◽  
Bypass Grafting ◽  
Arterial Bypass

scholarly journals P3611Identification of candidates for coronary artery bypass grafting admitted with STEMI and Multivessel Disease

2018 ◽  
Vol 39 (suppl_1) ◽  
Author(s):  
R Rodriguez Olivares ◽  
A Lorente Ros ◽  
J M Vieitez ◽  
M Abellas ◽  
J Lopez-Menendez ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Multivessel Disease ◽  
Bypass Grafting ◽  
Artery Bypass Grafting
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