%0 Journal Article
%T Assessing Safety of CABG in the Era Post Primary PCI, an Outcome Analysis of STEMI Population
%A Saqib H. Qureshi
%A Mark de Belder
%A Enoch Akowuah
%J World Journal of Cardiovascular Surgery
%P 15-22
%@ 2164-3210
%D 2013
%I Scientific Research Publishing
%R 10.4236/wjcs.2013.31003
%X <p class=\"MsoNormal\">
	<b><span lang=\"EN-US\">Background:</span></b><span lang=\"EN-US\"> </span><span lang=\"EN-US\">Primary PCI (PPCI) has replaced thrombolysis as the treatment of choice for STEMI. The effect of this change on outcomes of patients referred for subsequent CABG is unknown. <b>Methods:</b></span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">All STEMI patients having thrombolysis or PPCI between 2000 and 2010 were identified. Of these, patients subsequently referred for isolated first time CABG form the cohort for this study.</span><span lang=\"EN-US\"> </span><b><span lang=\"EN-US\">Results:</span></b><span lang=\"EN-US\"> </span><span lang=\"EN-US\">83 of 2476 (3.4%) patients from the PPCI cohort (median fol</span><span lang=\"EN-US\">low-up [FU] 3 years [range <?xml:namespace prefix = st1 /><st1:chmetcnv tcsc=\"0\" numbertype=\"1\" negative=\"False\" hasspace=\"True\" sourcevalue=\"6\" unitname=\"m\" w:st=\"on\"><st1:chmetcnv tcsc=\"0\" numbertype=\"1\" negative=\"False\" hasspace=\"False\" sourcevalue=\"6\" unitname=\"m\" w:st=\"on\">6 </st1:chmetcnv>m</st1:chmetcnv></span><span lang=\"EN-US\"> - </span><span lang=\"EN-US\">7.8</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">y]) and 49 of 528 (9.2%) from the thrombolysis cohort (median FU 9</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">y [range 1.5</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">-</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">10</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">y] were referred for subsequent CABG. In this referred group, initial reperfusion success (as defined) was: PPCI</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">=</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">86%, lysis</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">=</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">84%, p</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">=</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">0.69. Surgical waiters with prior PPCI had less post infarct angina (1.2% vs. 25%, p</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">&lt;</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">0.01) and late re-infarction (6% vs. 20%, p</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">=</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\">0.034) prior to surgery. Timing of CABG was: &lt;<st1:chmetcnv tcsc=\"0\" numbertype=\"1\" negative=\"False\" hasspace=\"True\" sourcevalue=\"6\" unitname=\"m\" w:st=\"on\"><st1:chmetcnv tcsc=\"0\" numbertype=\"1\"
%K Coronary Artery Bypass Grafting (CABG)
%K Primary Percutaneous Coronary Intervention (PPCI)
%K Infarct Related Artery (IRA)
%K Intra Aortic Balloon Counterpulsation (IABP)
%K ST-Elevation Myocardial Infarction (STEMI)
%K Thrombolysis
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=29183