Early and long-term outcomes in patients undergoing cardiac surgery following iatrogenic injuries during percutaneous coronary intervention
Journal of the American Heart Association Jan 10, 2019
Verevkin A, et al. - In 168 consecutive patients undergoing cardiac surgical procedures for iatrogenic complications following percutaneous coronary interventions (PCI) between December 1999 and July 2015, researchers assessed the early and long-term outcomes and predictors of operative and long-term mortality. They analyzed pre-, intra- and post-operative data and hospital outcomes of these subjects, prospectively collected in the computerized database. They also used logistic and Cox regression analyses to find predictors of mortality. Study participants had mean age 68.5±10.2 years and 35.7% were females. Left anterior descending (38.7%), right coronary (29.2%), circumflex (13.1%), left main coronary artery injuries (19.0%), and acute myocardial infarction (66.7%), Type A aortic dissection (7.7%), cardiac tamponade (17.9%), and cardiogenic shock (46.4%) were reported as the PCI complications that occurred. High operative and long-term mortality was seen in cases with iatrogenic injuries after PCI or coronary angiography requiring surgical correction. Long-term prognosis was guarded in patients developing acute coronary artery occlusion. A better long-term survival was seen in hospital survivors.
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