University of Oulu

Maximilian J Preußer, Jan Landwehrt, Stefano Mastrobuoni, Fausto Biancari, Abdul R Dakkak, Mosab Alshakaki, Sven Martens, Angelo M Dell’Aquila, Survival results of postoperative coronary angiogram for treatment of perioperative myocardial ischaemia following coronary artery bypass grafting: a single-centre experience, Interactive CardioVascular and Thoracic Surgery, Volume 26, Issue 2, February 2018, Pages 237–242, https://doi.org/10.1093/icvts/ivx317

Survival results of postoperative coronary angiogram for treatment of perioperative myocardial ischaemia following coronary artery bypass grafting : a single-centre experience

Saved in:
Author: Preußer, Maximilian J.1; Landwehrt, Jan1; Mastrobuoni, Stefano2;
Organizations: 1Department of Cardiothoracic Surgery, Universitätsklinikum Münster, Münster, Germany
2Cliniques Universitaires Saint-Luc, Université Catholique du Louvain, Brussels, Belgium
3Department of Surgery, University of Turku, Turku, Finland
4Heart Center, Turku University Hospital, Turku, Finland
5Department of Surgery, University of Oulu, Oulu, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.2 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2019102134027
Language: English
Published: Oxford University Press, 2018
Publish Date: 2019-10-21
Description:

Abstract

OBJECTIVES: Although perioperative myocardial ischaemia (PMI) is a well-known complication following coronary artery bypass grafting (CABG), standard strategies for its diagnosis and treatment are so far not defined. In this study, we sought to evaluate the impact on survival of postoperative coronary angiogram for management of patients with PMI after CABG.

em>METHODS: Overall, 4028 patients underwent isolated CABG in a single-centre institution between January 2006 and September 2013. A total of 168 (4.2%) patients received postoperative coronary angiogram because of diagnosis of PMI. These patients were matched on the basis of gender, age at surgery and date of surgery, with 336 (1:2 ratio) CABG patients without PMI to determine the impact of the PMI management.

RESULTS: A total of 476 grafts were examined (263 venous grafts, 196 internal mammary artery grafts and 17 radial artery grafts). Almost three-quarters of the 168 PMI (74.4%) patients underwent postoperative coronary angiogram within 24 h of surgery. Normal postoperative coronary angiogram, graft failure and new native vessels occlusion were observed in 23.2%, 52.4% and 24.4% of patients, respectively. A total of 30 (17.9%) patients underwent surgical revision of grafts, whereas 60 (35.7%) patients were treated with percutaneous coronary intervention. Eighteen (10.7%) PMI patients died during the hospital stay compared with 6 (1.8%) patients in the non-PMI group. Survival rates at 7 years were 62.5% in the PMI group and 81.1% in non-PMI group (P < 0.001). After multivariable adjustment PMI (P < 0.001; hazard ratio 3.17, 95% confidence interval 2.12–4.73) turned out to be an independent predictor of mortality on follow-up. Moreover, further subanalysis revealed that delayed postoperative coronary angiogram (>24 h after surgery) was an independent predictor of poorer mid-term survival (P = 0.008; hazard ratio 3.62, 95% confidence interval 1.41–9.33).

CONCLUSIONS: PMI after CABG is associated with a significantly poorer survival. A prompt postoperative management must always be considered. Further prospective studies are required to confirm our results.

see all

Series: Interactive cardiovascular and thoracic surgery
ISSN: 1569-9293
ISSN-E: 1569-9285
ISSN-L: 1569-9293
Volume: 26
Issue: 2
Pages: 237 - 242
DOI: 10.1093/icvts/ivx317
OADOI: https://oadoi.org/10.1093/icvts/ivx317
Type of Publication: A1 Journal article – refereed
Field of Science: 3126 Surgery, anesthesiology, intensive care, radiology
Subjects:
Copyright information: © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. This is a pre-copyedited, author-produced version of an article accepted for publication in Interactive CardioVascular and Thoracic Surgery following peer review. The version of record [insert complete citation information here] is available online at: https://doi.org/10.1093/icvts/ivx317.