Direct results of percutaneous coronary intervention in patientswith recurrent angina after coronary artery bypass grafting

Authors: Bockeria L.A., Petrosyan K.V., Golukhova E.Z., Bockeria O.L., Abrosimov A.V., Mkrtychyan B.T.

Company: A.N. Bakoulev Scientific Center for Cardiovascular Surgery of Ministry of Health of the Russian Federation; Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

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DOI: https://doi.org/10.15275/kreatkard.2016.04.05

For citation: Bockeria L.A., Petrosyan K.V., Golukhova E.Z., Bockeria O.L., Abrosimov A.V., Mkrtychyan B.T. Direct results of percutaneous coronary intervention in patientswith recurrent angina after coronary artery bypass grafting. Creative Cardiology. 2016; 10 (4): 306-316 (in Russ.).

Keywords: intraoperative angiography percutaneous coronary intervention coronary artery bypass grafting

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Abstract

Objective. The number of percutaneous coronary interventions (PCI) on the grafts and native arteries is growing extensively due to increasing number of coronary artery bypass grafting (CABG).
Material and methods. We analyzed the immediate results of PCI in 66 patients due to the dysfunction previously imposed grafts, who underwent CABG and intraoperative angiography (IA) from 2009 to 2015. Sixty-six patients were imposed 155 grafts. PCI is performed due to graft dysfunction which were revealed intraoperatively, during hospital stay and/or long-term period after CABG.
Results. During intraoperative angiography, dysfunction was found in 48 (31.0%) of 155 grafts (37 of 66 patients, respectively), and in the period from 3 to 48 months after CABG dysfunction was observed in 75 (48.4%) grafts in 45 patients. PCI was successful in 63 (95.5%) patients. One patient (1.5%) had residual stenosis equal to 30% due to extensive coronary bed calcification. In two patients (3.0%) recanalization of the right coronary artery failed due to remote occlusive lesion. The clinical success was about 97.0%, angiographic success was 95.5%.
Conclusions. Is necessary to perform intraoperative revascularization in patients with stenosis of grafts and/or anastomosis more than 50% which were revealed during intraoperative angiography and affected hemodynamics.

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Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery