scholarly journals Insights into myocardial infarction after noncardiac surgery in patients with a prior coronary artery stent

2016 ◽  
Vol 116 (5) ◽  
pp. 584-586 ◽  
Author(s):  
P.J. Devereaux ◽  
J Eikelboom
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Noncardiac Surgery ◽  
Coronary Artery Stent

scholarly journals Acute Myocardial Infarction of the Left Main Coronary Artery Presenting with Cardiogenic Shock and Pulmonary Edema during Noncardiac Surgery

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Sakae Takenaka ◽  
Takao Konishi ◽  
Tomoya Sato ◽  
Atsushi Tada ◽  
Takuya Koizumi ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Artery ◽  
Cardiogenic Shock ◽  
Pulmonary Edema ◽  
Left Main Coronary Artery ◽  
Noncardiac Surgery ◽  
Chest Roentgenogram ◽  
Left Main ◽  
Severe Stenosis

Acute myocardial infarction (AMI) caused by severe stenosis of left main coronary artery (LMCA) presenting with cardiogenic shock and pulmonary edema during noncardiac surgery is uncommon, but a catastrophic event. A 77-year-old male with cholangiocarcinoma underwent hepatectomy. During the surgery, he presented with cardiogenic shock, which did not respond to infusion administration or vasopressor. A transesophageal echocardiogram revealed anterior, septal, and lateral severe hypokinesia and impaired left ventricular function. Emergent coronary angiogram showed severe stenosis of LMCA. The patient underwent primary percutaneous coronary intervention (PCI) under the support of intra-aortic balloon pump, followed by extracorporeal membrane oxygenation. The chest roentgenogram showed pulmonary edema. Two days after PCI, he successfully underwent hepatectomy and bile duct resection. Early identification of the cause of hemodynamic instability during noncardiac surgery and invasive strategy are important for minimizing the myocardial injury and improving clinical outcomes in AMI of LMCA.

scholarly journals Clinical Outcome of Noncardiac Surgery in Patients With History of Coronary Artery Revascularization by Percutaneous Coronary Intervention Versus Coronary Artery Bypass Graft Surgery

2018 ◽  
Vol 9 ◽  
pp. 117967071774894
Author(s):  
Jungchan Park ◽  
Seung Hwa Lee ◽  
Jeayoun Kim ◽  
Myungsoo Park ◽  
Hyeon-Cheol Gwon ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Clinical Outcome ◽  
Coronary Revascularization ◽  
Artery Bypass ◽  
Coronary Intervention ◽  
Noncardiac Surgery ◽  
Percutaneous Coronary ◽  
History Of

Objective: Although safety concerns still remain among patients undergoing unanticipated noncardiac surgery after prior percutaneous coronary intervention (PCI), it has not been directly compared with coronary artery bypass grafting (CABG). The objective of this study was to compare clinical outcomes after noncardiac surgery in patients with prior (>6 months) coronary revascularization by PCI or CABG. Methods: From February 2010 to December 2015, 413 patients with a history of coronary revascularization, scheduled for noncardiac surgery were identified. Patients were divided into PCI group and CABG group and postoperative clinical outcome was compared between 2 groups. The primary outcome was composite of all-cause death, myocardial infarction, and stroke in 1-year follow-up. Results: The 413 patients were divided according to prior coronary revascularization types: 236 (57.1%) into PCI and 177 (42.9%) into CABG group. In multivariate analysis within 1-year follow-up, there was no significant difference in clinical outcome which was composite of all-cause death, myocardial infarction, and stroke (hazard ratio [HR]: 1.50; 95% confidence interval [CI]: 0.76-2.93; P = .24). The same result was present in propensity-matched population analysis (HR: 1.43; 95% CI: 0.68-3.0; P = .34). Conclusions: In patients undergoing noncardiac surgery with prior coronary revascularization by PCI or CABG performed on an average of 42 months after PCI and 50 months after CABG, postoperative clinical outcome at 1-year follow-up is comparable.

Coronary artery stent placement with postprocedural antiplatelet therapy in acute myocardial infarction

1998 ◽  
Vol 9 (9) ◽  
pp. 577-582 ◽  
Author(s):  
Hanna Walter ◽  
Franz-Josef Neumann ◽  
Martin Hadamitzky ◽  
Shpend Elezi ◽  
Arndt Müller ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Artery ◽  
Antiplatelet Therapy ◽  
Stent Placement ◽  
Coronary Artery Stent

scholarly journals Coronary Artery Stent Placement Immediately before Noncardiac Surgery: A Potential Risk?

2007 ◽  
Vol 106 (5) ◽  
pp. 1067-1069 ◽  
Author(s):  
Olaf Schouten ◽  
Jeroen J. Bax ◽  
Johan Damen ◽  
Don Poldermans
Keyword(s):  
Coronary Artery ◽  
Potential Risk ◽  
Stent Placement ◽  
Noncardiac Surgery ◽  
Coronary Artery Stent
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