Temporal trends in major angioplasty complications: technical issues and the case for on-site coronary surgery.
The need for on-site cardiac surgery has been a component of guidelines for the practice of elective and emergency percutaneous coronary intervention (PCI). However, proportions of cases requiring emergency coronary artery bypass grafting (CABG) post-PCI have fallen. This audit of complications of PCI confirms the very low incidence of need for emergency CABG, despite increasingly complex PCI caseload. Although the availability of stents/antiplatelet pharmacotherapy probably has contributed to improved PCI outcomes, the avoidance of emergency CABG is not contingent on either extensive use of glycoprotein IIb/IIIa inhibitors or strategies of universal stenting.
Mishra
K J
KJ
Cardiology Unit, The Queen Elizabeth Hospital, South Australia, Australia.
Sage
P R
PR
Philpott
A C
AC
Zeitz
C J
CJ
Horowitz
J D
JD
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001026:Coronary Artery Bypass; D004638:Emergency Treatment; D006801:Humans; D008485:Medical Audit; D009203:Myocardial Infarction / Q000209:etiology / Q000517:prevention & control / Q000601:surgery*; D019039:Platelet Glycoprotein GPIIb-IIIa Complex / Q000037:antagonists & inhibitors; D018570:Risk Assessment; D015607:Stents; D013997:Time Factors
D019039:Platelet Glycoprotein GPIIb-IIIa Complex