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Titolo:
Outcomes following coronary artery bypass grafting and percutaneous transluminal coronary angioplasty in the stent era: a prospective study of all 9890 consecutive patients operated on in Scotland over a two year period
Autore:
Pell, JP; Walsh, D; Norrie, J; Berg, G; Colquhoun, AD; Davidson, K; Eteiba, H; Faichney, A; Flapan, A; Hogg, KJ; Jeffrey, RR; Jennings, K; McArthur, J; Mankad, P; Oldroyd, K; Pell, ACH; Starkey, IR;
Indirizzi:
Univ Glasgow, Dept Med Cardiol, Glasgow, Lanark, Scotland Univ Glasgow Glasgow Lanark Scotland Cardiol, Glasgow, Lanark, Scotland Univ Glasgow, Dept Biostat, Glasgow, Lanark, Scotland Univ Glasgow Glasgow Lanark Scotland Biostat, Glasgow, Lanark, Scotland Common Serv Agcy, Informat & Stat Div, Edinburgh, Midlothian, Scotland Common Serv Agcy Edinburgh Midlothian Scotland rgh, Midlothian, Scotland Univ Glasgow, N Glasgow Hosp, NHS Trust, Dept Cardiac Surg, Glasgow, Lanark, Scotland Univ Glasgow Glasgow Lanark Scotland iac Surg, Glasgow, Lanark, Scotland Univ Glasgow, N Glasgow Hosp, NHS Trust, Dept Anaesthet, Glasgow, Lanark, Scotland Univ Glasgow Glasgow Lanark Scotland naesthet, Glasgow, Lanark, Scotland Univ Glasgow, N Glasgow Hosp, NHS Trust, Dept Cardiol, Glasgow, Lanark, Scotland Univ Glasgow Glasgow Lanark Scotland Cardiol, Glasgow, Lanark, Scotland Univ Edinburgh, Lothian Hosp, NHS Trust, Dept Cardiol, Edinburgh, Midlothian, Scotland Univ Edinburgh Edinburgh Midlothian Scotland burgh, Midlothian, Scotland Univ Edinburgh, Lothian Hosp, NHS Trust, Dept Cardiac Surg, Edinburgh, Midlothian, Scotland Univ Edinburgh Edinburgh Midlothian Scotland burgh, Midlothian, Scotland Univ Aberdeen, Grampian Hosp, NHS Trust, Dept Cardiol, Aberdeen, Scotland Univ Aberdeen Aberdeen Scotland Trust, Dept Cardiol, Aberdeen, Scotland Univ Aberdeen, Grampian Hosp, NHS Trust, Dept Cardiac Surg, Aberdeen, Scotland Univ Aberdeen Aberdeen Scotland , Dept Cardiac Surg, Aberdeen, Scotland
Titolo Testata:
HEART
fascicolo: 6, volume: 85, anno: 2001,
pagine: 662 - 666
SICI:
1355-6037(200106)85:6<662:OFCABG>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
DIABETIC-PATIENTS; RANDOMIZED TRIAL; SURGERY; DISEASE; REVASCULARIZATION; SURVIVAL;
Keywords:
percutaneous transluminal coronary angioplasty; coronary artery bypass grafting; survival; outcome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Pell, JP Univ Glasgow, Dept Med Cardiol, Glasgow, Lanark, Scotland Univ Glasgow Glasgow Lanark Scotland Glasgow, Lanark, Scotland
Citazione:
J.P. Pell et al., "Outcomes following coronary artery bypass grafting and percutaneous transluminal coronary angioplasty in the stent era: a prospective study of all 9890 consecutive patients operated on in Scotland over a two year period", HEART, 85(6), 2001, pp. 662-666

Abstract

Objective - To determine current outcomes of percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass grafting (CABG). Design - The Scottish coronary revascularisation register provided prospectively collected data on case mix and in-hospital complications for all revascularisation procedures between April 1997 and March 1999 (4775 PTCA; 5115 CABG). Linkage to routine hospital discharge and death data provided follow up information on survival and repeat revascularisation. Results - Stents were used in 51% of PTCA procedures. CABG patients were older, had more severe coronary disease, and had greater comorbidity PTCA was more likely to be undertaken as an urgent or emergency procedure. Perioperative death and urgent surgery followed 0.3% and 0.6% of PTCA procedures, respectively. Case fatality rates were higher following CABG, with 6.7% dead within two years compared with 3.4% following PTCA. PTCA was more often followed by readmission for ischaemic heart disease, repeat angiography, or revascularisation: 22.8% of patients had repeat revascularisation within two years, compared with 1.8% following CABG. Conclusions - The severity of coronary heart disease was greater than in previously published registry studies and randomised trials. Despite this, overall survival figures were comparable and repeat revascularisation rates lower, particularly following PTCA. Perioperative death and urgent surgery following PTCA were also lower. These favourable outcomes may be attributable, in part, to increased use of bail our and elective stenting.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 12:56:37