Early post operative outcome of CABG In patients with previous coronary stenting

Document Type : Original Article

Authors

Department of Cardiothoracic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Abstract

Background: Rates of percutaneous coronary intervention (PCI) have increased dramatically in recent years, whereas rates of coronary artery bypass grafting (CABG) have remained remarkably stable.
Aim: To evaluate the impact of coronary stenting on coronary artery pathology and the way of grafting, the early post- operative outcomes and complications of coronary artery bypass grafting surgery following previous revascularization by percutaneous intervention (PCI).
Patients and methods: This prospective study was conducted on One hundred and twenty patients with multi-vessel CAD and indicated for CABG in ASU hospital and Sheikh Zayed specialized hospital between February 2019 and March 2024.
Results: There was no significant difference in the incidence of myocardial infarction and cerebrovascular stroke between group A and group B, no significant difference in postoperative cardiac enzymes, ECG, or echocardiography after 3 months of EF, respectively.
Conclusion: Our study revealed that there was a significant difference in coronary artery pathology, with severe atherosclerosis in group A compared to group B. Total bypass time and cross clamp time increased in group B. Additionally, there was a slight decrease in EF follow-up in group A after 3 months.

Keywords

The Egyptian Journal of Surgery
Volume 44, Issue 1
January 2025
Pages 98-105

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