The First International Scientific Teleconference
"Cardiovascular Surgery and Angiology - 2003"
Hitoshi Hirose, MD, FICA 1, Atsushi Amano, MD 2, Akihito Takahashi, MD 3
EMERGENT SURGICAL MYOCARDIAL REVASCULARIZATION FOLLOWING PCI FAILURE
1 Department of
Cardiovascular Surgery, Shin-Tokyo Hospital, Chiba, Japan
Currently, Department of Thoracic and Cardiovascular Surgery
Cleveland Clinic Foundation, Cleveland, OH.
2 Department of Cardiovascular Surgery Juntendo University
Hospital, Tokyo, Japan
3 Department of Cardiovascular Surgery Cardiovascular Institute
Hospital, Tokyo, Japan
Intervention failure and crash in the catheterization laboratory are surgical emergency. We have experienced 28 cases (20 males and 8 females, mean age of 61.8) of emergent coronary artery bypass fur unstable patients immediately after intervention failure. Preoperatively, 19 patients (71%) required support device (IABP or ECMO).
The mean number of bypass graft was 3.0 1.1. Postoperative intubation time, IABP time, and ICU stay were 18.0 hours, 19.4 hours, and 3.2 days, respectively. There were 2 postoperative deaths (8.0%), 5 (18.5%) low output syndrome, 2 (7.4%) stroke, 1 (3.7%) respiratory failure, and 1 (3.7%) renal failure. At the follow-up period of 3.1 2.0 years, there were 3 remote death and 6 cardiac events, giving actual survival and event-free rates of 92% and 76%, respectively.
In conclusion, the outcomes of emergent surgery after intervention failure were still poor in modern era of coronary artery bypass.
Hirose H., Amano A., Takahashi A. EMERGENT SURGICAL MYOCARDIAL REVASCULARIZATION FOLLOWING PCI FAILURE // The First International Scientific Teleconference "Cardiovascular Surgery and Angiology - 2003", The book of Conference.- SPb, 2003.- P.
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