Introduction
The emergence of drug-eluting stents (DES) has resulted in greater utilization of coronary stents in patients with Class I Indications for Coronary Artery Bypass Surgery. The need for repeat revascularization in patients treated with PCI has led to an increasing percentage of CABG in patients with prior PCI. A study from the Society of Thoracic Surgeons 2018 Adult Cardiac surgery Database revealed that 28.9% of patients referred for CABG had a prior PCI. Several studies have demonstrated worse mid-term and long-term outcomes after CABG in patients with prior PCI. This study aimed to assess the impact of prior successful PCI on the short-term outcome after CABG surgery.
Aim of the work
This study aimed to assess the impact of prior successful PCI on the short-term outcome after CABG surgery.
Subjects and Methods
This was a prospective cohort study that included a total of 60 patients admitted at The New Alexandria University Hospital from January 2018 to January 2020. Of these, 30 patients (50%) CABG surgery on native coronary arteries (Group A), and the remaining 30 patients (50%) had prior PCI before CABG (Group B).
The primary outcomes of interest were postoperative myocardial infarction, cardiac death, postoperative bleeding, exploration for bleeding. Secondary outcomes included the duration of the ICU stay, the ventilation time, and the inotropic use.