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Angiographic Control and Percutaneous Treatment of Myocardial Ischemia Immediately after CABG

Janko Szavits-Nossan ; »J. J. Strossmayer« University, »Magdalena« Clinic for Cardiovascular Diseases, Department of Cardiology, Krapinske Toplice, Croatia
Hrvoje Stipic ; »J. J. Strossmayer« University, »Magdalena« Clinic for Cardiovascular Diseases, Department of Cardiology, Krapinske Toplice, Croatia
Igor Sesto ; »J. J. Strossmayer« University, »Magdalena« Clinic for Cardiovascular Diseases, Department of Cardiology, Krapinske Toplice, Croatia
Ksenija Kapov-Svilicic ; »J. J. Strossmayer« University, »Magdalena« Clinic for Cardiovascular Diseases, Department of Cardiology, Krapinske Toplice, Croatia
Tomislav Sipic ; »J. J. Strossmayer« University, »Magdalena« Clinic for Cardiovascular Diseases, Department of Cardiology, Krapinske Toplice, Croatia
Robert Bernat ; »J. J. Strossmayer« University, »Magdalena« Clinic for Cardiovascular Diseases, Department of Cardiology, Krapinske Toplice, Croatia

Puni tekst: engleski, pdf (107 KB) str. 1391-1394 preuzimanja: 285* citiraj
APA 6th Edition
Szavits-Nossan, J., Stipic, H., Sesto, I., Kapov-Svilicic, K., Sipic, T. i Bernat, R. (2012). Angiographic Control and Percutaneous Treatment of Myocardial Ischemia Immediately after CABG. Collegium antropologicum, 36 (4), 1391-1394. Preuzeto s https://hrcak.srce.hr/94974
MLA 8th Edition
Szavits-Nossan, Janko, et al. "Angiographic Control and Percutaneous Treatment of Myocardial Ischemia Immediately after CABG." Collegium antropologicum, vol. 36, br. 4, 2012, str. 1391-1394. https://hrcak.srce.hr/94974. Citirano 14.08.2020.
Chicago 17th Edition
Szavits-Nossan, Janko, Hrvoje Stipic, Igor Sesto, Ksenija Kapov-Svilicic, Tomislav Sipic i Robert Bernat. "Angiographic Control and Percutaneous Treatment of Myocardial Ischemia Immediately after CABG." Collegium antropologicum 36, br. 4 (2012): 1391-1394. https://hrcak.srce.hr/94974
Harvard
Szavits-Nossan, J., et al. (2012). 'Angiographic Control and Percutaneous Treatment of Myocardial Ischemia Immediately after CABG', Collegium antropologicum, 36(4), str. 1391-1394. Preuzeto s: https://hrcak.srce.hr/94974 (Datum pristupa: 14.08.2020.)
Vancouver
Szavits-Nossan J, Stipic H, Sesto I, Kapov-Svilicic K, Sipic T, Bernat R. Angiographic Control and Percutaneous Treatment of Myocardial Ischemia Immediately after CABG. Collegium antropologicum [Internet]. 2012 [pristupljeno 14.08.2020.];36(4):1391-1394. Dostupno na: https://hrcak.srce.hr/94974
IEEE
J. Szavits-Nossan, H. Stipic, I. Sesto, K. Kapov-Svilicic, T. Sipic i R. Bernat, "Angiographic Control and Percutaneous Treatment of Myocardial Ischemia Immediately after CABG", Collegium antropologicum, vol.36, br. 4, str. 1391-1394, 2012. [Online]. Dostupno na: https://hrcak.srce.hr/94974. [Citirano: 14.08.2020.]

Sažetak
Perioperative myocardial ischemia is rare but serious complication of CABG. Graft dysfunction, coronary artery thrombosis and incomplete revascularization are main causes. Pharmacological treatment, intra aortic counter pulsation and immediate additional grafting have limited results. Treatment strategy based on coronary angiography findings could lessen the burden of high mortality rate in these patients. The purpose of this study was to analyze the causes of perioperative ischemia and angiography based treatment strategy including percutaneous intervention. We enrolled all 55 consecutive patients that went early coronary angiography for perioperative myocardial ischemia in a prospective longitudinal study. Incorrect graft anastomosis, graft spasm, displacement and dissection were found in 49%, 7%, 5% and 4% of patients, respectively. Acute coronary artery thrombotic occlusion was found in 5% of patients and ischemia due to incomplete revascularization in 6% of patients. In 22% of patients no cause of myocardial ischemia could be detected.
There were no complications of coronary angiography. Based on coronary angiography findings percutaneous intervention was performed in 30 patients, additional grafting in 8 patients and no action was taken in 17 patients. Percutaneous intervention with stenting was performed on coronary arteries (78%) and graft anastomosis (22%) with primary success 97%. One anastomosis rupture with treatable tamponade and one lethal stent thrombosis were complications of percutaneous treatment. Overall in hospital mortality was 30%. We concluded that graft dysfunction is usual cause of myocardial ischemia due to incorrect anastomosis and that percutaneous intervention on bypass graft or coronary artery
can lessen high mortality rate in these patients.

Ključne riječi
coronary artery bypass graft; percutaneous coronary intervention; stent; perioperative ischemia; clinical outcome

Hrčak ID: 94974

URI
https://hrcak.srce.hr/94974

Posjeta: 501 *