Staged revascularization in critically ill patients with coronary artery disease
Background: Critically ill patients undergoing bypass surgery experience a higher mortality and morbidity. Hypothesis: The study was undertaken to evaluate the efficacy and value of percutaneous transluminal coronary angioplasty (PTCA) as a bridge to coronary artery bypass graft surgery (CABG) in hi...
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| Veröffentlicht in: | Clinical cardiology (Mahwah, N.J.) N.J.), 2001-05, Vol.24 (5), p.393-396 |
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| container_title | Clinical cardiology (Mahwah, N.J.) |
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| creator | Hayat, Nasser Jowhar Varghese, Kiron Thomas, Christus Singh Khan, Nazir Ali |
| description | Background: Critically ill patients undergoing bypass surgery experience a higher mortality and morbidity.
Hypothesis: The study was undertaken to evaluate the efficacy and value of percutaneous 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 multivessel coronary 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, eight patients 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 as a bridge to surgery in critically ill patients. |
| doi_str_mv | 10.1002/clc.4960240509 |
| format | Article |
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Hypothesis: The study was undertaken to evaluate the efficacy and value of percutaneous 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 multivessel coronary 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, eight patients 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 as a bridge to surgery in critically ill patients.</description><identifier>ISSN: 0160-9289</identifier><identifier>EISSN: 1932-8737</identifier><identifier>DOI: 10.1002/clc.4960240509</identifier><identifier>PMID: 11346247</identifier><identifier>CODEN: CLCADC</identifier><language>eng</language><publisher>New York: Wiley Periodicals, Inc</publisher><subject>Aged ; Angina, Unstable - therapy ; Angioplasty, Balloon, Coronary ; Biological and medical sciences ; cardiogenic shock ; Cardiology. Vascular system ; Coronary Artery Bypass ; coronary artery bypass surgery ; Coronary Disease - surgery ; Coronary Disease - therapy ; Coronary heart disease ; Critical Illness ; culprit vessel angioplasty ; Heart ; Humans ; interim/bridge procedure ; Male ; Medical sciences ; Middle Aged ; Myocardial Revascularization - methods ; refractory unstable angina ; Shock, Cardiogenic - therapy ; Stents</subject><ispartof>Clinical cardiology (Mahwah, N.J.), 2001-05, Vol.24 (5), p.393-396</ispartof><rights>Copyright © 2001 Wiley Periodicals, Inc.</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4649-77a9dcbcce0cf00ab1e21bd288ebe2dbb04d2efb8774b44f0eca25efd6a02a323</citedby><cites>FETCH-LOGICAL-c4649-77a9dcbcce0cf00ab1e21bd288ebe2dbb04d2efb8774b44f0eca25efd6a02a323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6654913/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6654913/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,1411,27903,27904,45553,45554,53769,53771</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=968569$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11346247$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hayat, Nasser Jowhar</creatorcontrib><creatorcontrib>Varghese, Kiron</creatorcontrib><creatorcontrib>Thomas, Christus Singh</creatorcontrib><creatorcontrib>Khan, Nazir Ali</creatorcontrib><title>Staged revascularization in critically ill patients with coronary artery disease</title><title>Clinical cardiology (Mahwah, N.J.)</title><addtitle>Clin Cardiol</addtitle><description>Background: Critically ill patients undergoing bypass surgery experience a higher mortality and morbidity.
Hypothesis: The study was undertaken to evaluate the efficacy and value of percutaneous 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 multivessel coronary 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, eight patients 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 as a bridge to surgery in critically ill patients.</description><subject>Aged</subject><subject>Angina, Unstable - therapy</subject><subject>Angioplasty, Balloon, Coronary</subject><subject>Biological and medical sciences</subject><subject>cardiogenic shock</subject><subject>Cardiology. Vascular system</subject><subject>Coronary Artery Bypass</subject><subject>coronary artery bypass surgery</subject><subject>Coronary Disease - surgery</subject><subject>Coronary Disease - therapy</subject><subject>Coronary heart disease</subject><subject>Critical Illness</subject><subject>culprit vessel angioplasty</subject><subject>Heart</subject><subject>Humans</subject><subject>interim/bridge procedure</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Revascularization - methods</subject><subject>refractory unstable angina</subject><subject>Shock, Cardiogenic - therapy</subject><subject>Stents</subject><issn>0160-9289</issn><issn>1932-8737</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFrFDEUxoModlu9epQBwdusL5lMJrkIsqgVFiqo5_CSedNGsjNrMtuy_eubsktbTz29w_u97318H2PvOCw5gPjko19Ko0BIaMG8YAtuGlHrrulesgVwBbUR2pyw05z_Fh60aF6zE84bqYTsFuznrxkvqa8SXWP2u4gp3OIcprEKY-VTmIPHGPdViLHalgWNc65uwnxV-SlNI6Z9hWmmMvqQCTO9Ya8GjJneHucZ-_Pt6-_Veb2--P5j9WVde6mkqbsOTe-d9wR-AEDHSXDXC63JkeidA9kLGpzuOumkHIA8ipaGXiEIbERzxj4fdLc7t6HeF2MJo92msCmm7ITB_r8Zw5W9nK6tUq00vCkCH48Cafq3ozzbTcieYsSRpl22HehGtxIKuDyAPk05JxoennCw9yXYUoJ9LKEcvH9q7RE_pl6AD0egZI5xSDj6kB84o3Sr7mXMgboJkfbPPLWr9eqJhTtHTqPS</recordid><startdate>200105</startdate><enddate>200105</enddate><creator>Hayat, Nasser Jowhar</creator><creator>Varghese, Kiron</creator><creator>Thomas, Christus Singh</creator><creator>Khan, Nazir Ali</creator><general>Wiley Periodicals, Inc</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200105</creationdate><title>Staged revascularization in critically ill patients with coronary artery disease</title><author>Hayat, Nasser Jowhar ; Varghese, Kiron ; Thomas, Christus Singh ; Khan, Nazir Ali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4649-77a9dcbcce0cf00ab1e21bd288ebe2dbb04d2efb8774b44f0eca25efd6a02a323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Aged</topic><topic>Angina, Unstable - therapy</topic><topic>Angioplasty, Balloon, Coronary</topic><topic>Biological and medical sciences</topic><topic>cardiogenic shock</topic><topic>Cardiology. Vascular system</topic><topic>Coronary Artery Bypass</topic><topic>coronary artery bypass surgery</topic><topic>Coronary Disease - surgery</topic><topic>Coronary Disease - therapy</topic><topic>Coronary heart disease</topic><topic>Critical Illness</topic><topic>culprit vessel angioplasty</topic><topic>Heart</topic><topic>Humans</topic><topic>interim/bridge procedure</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Revascularization - methods</topic><topic>refractory unstable angina</topic><topic>Shock, Cardiogenic - therapy</topic><topic>Stents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hayat, Nasser Jowhar</creatorcontrib><creatorcontrib>Varghese, Kiron</creatorcontrib><creatorcontrib>Thomas, Christus Singh</creatorcontrib><creatorcontrib>Khan, Nazir Ali</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hayat, Nasser Jowhar</au><au>Varghese, Kiron</au><au>Thomas, Christus Singh</au><au>Khan, Nazir Ali</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Staged revascularization in critically ill patients with coronary artery disease</atitle><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle><addtitle>Clin Cardiol</addtitle><date>2001-05</date><risdate>2001</risdate><volume>24</volume><issue>5</issue><spage>393</spage><epage>396</epage><pages>393-396</pages><issn>0160-9289</issn><eissn>1932-8737</eissn><coden>CLCADC</coden><abstract>Background: Critically ill patients undergoing bypass surgery experience a higher mortality and morbidity.
Hypothesis: The study was undertaken to evaluate the efficacy and value of percutaneous 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 multivessel coronary 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, eight patients 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 as a bridge to surgery in critically ill patients.</abstract><cop>New York</cop><pub>Wiley Periodicals, Inc</pub><pmid>11346247</pmid><doi>10.1002/clc.4960240509</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Angina, Unstable - therapy Angioplasty, Balloon, Coronary Biological and medical sciences cardiogenic shock Cardiology. Vascular system Coronary Artery Bypass coronary artery bypass surgery Coronary Disease - surgery Coronary Disease - therapy Coronary heart disease Critical Illness culprit vessel angioplasty Heart Humans interim/bridge procedure Male Medical sciences Middle Aged Myocardial Revascularization - methods refractory unstable angina Shock, Cardiogenic - therapy Stents |
| title | Staged revascularization in critically ill patients with coronary artery disease |
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