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Titolo:
Staged revascularization in critically ill patients with coronary artery disease
Autore:
Hayat, NJ; Varghese, K; Thomas, CS; Khan, NA;
Indirizzi:
Chest Dis Hosp, Safat, Kuwait Chest Dis Hosp Safat KuwaitChest Dis Hosp, Safat, Kuwait
Titolo Testata:
CLINICAL CARDIOLOGY
fascicolo: 5, volume: 24, anno: 2001,
pagine: 393 - 396
SICI:
0160-9289(200105)24:5<393:SRICIP>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
UNSTABLE ANGINA-PECTORIS; ACUTE MYOCARDIAL-INFARCTION; HIGH-RISK; CARDIOGENIC-SHOCK; ANGIOPLASTY;
Keywords:
refractory unstable angina; cardiogenic shock; culprit vessel angioplasty; interim/bridge procedure; coronary artery bypass surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Hayat, NJ Kuwait Univ, Fac Med, POB 24923, Safat 13110, Kuwait Kuwait UnivPOB 24923 Safat Kuwait 13110 3, Safat 13110, Kuwait
Citazione:
N.J. Hayat et al., "Staged revascularization in critically ill patients with coronary artery disease", CLIN CARD, 24(5), 2001, pp. 393-396

Abstract

Background: Critically ill patients undergoing bypass surgery experience ahigher mortality and morbidity. Hypothesis: The study was undertaken to evaluate the efficacy and value ofpercutaneous transluminal coronary angioplasty (PTCA) as a bridge to coronary artery bypass graft surgery (CABG) in high-risk patients with refractory unstable angina or cardiogenic shock. Methods: We present 11 seriously unstable patients with severe multivesselcoronary artery disease undergoing culprit vessel PTCA. Angioplasty was performed not as a definitive procedure but rather as a bridge to surgical revascularization. All the patients had sustained at least one myocardial infarction prior to catheterization, all had refractory unstable angina, eightpatients had only a single patent coronary artery, and five patients were in cardiogenic shock. Results: Following PTCA, all patients enjoyed a stable in-hospital period. One patient died 12 weeks after successful PTCA while awaiting second CABG. Seven patients subsequently underwent CABG and are doing well. The remaining three patients were also advised to undergo CABG, but elected to continue medical management. Conclusions: Coronary angioplasty of the culprit vessel may play a role asa bridge to surgery in critically ill patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 00:21:37