title: Temporal trends in major angioplasty complications: technical issues and the case for on-site coronary surgery.
abstract: 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.
authors.affiliation: Cardiology Unit, The Queen Elizabeth Hospital, South Australia, Australia.
authors.forename: K J
authors.initials: KJ
authors.lastname: Mishra
authors.forename: P R
authors.initials: PR
authors.lastname: Sage
authors.forename: A C
authors.initials: AC
authors.lastname: Philpott
authors.forename: C J
authors.initials: CJ
authors.lastname: Zeitz
authors.forename: J D
authors.initials: JD
authors.lastname: Horowitz
mesh_terms: 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
chemical_list: D019039:Platelet Glycoprotein GPIIb-IIIa Complex