2014


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2014/№3

Failure of patients to appear for coronary bypass surgery after a successful primary transcatheter intervention

Sumin A. N., Osokina A. V., Ivanov S. V., Barbarash O. L.

Keywords: coronary heart disease, coronary bypass surgery, treatment, transcutaneous coronary intervention

DOI: 10.18087/rhj.2014.3.1893

Background. The issue of how significant is waiting for elective coronary bypass (CB) surgery for patients, who have had a successful transcutaneous intervention (TCI) for ACS, has not been studied yet. Aim. To perform a comparative analysis of reasons for failure of patients to appear for the CB surgery after primary TCI or without TCI. Materials and methods. The study included 151 patients admitted for ACS between January, 2007 and December, 2010. Before admission, the patients had had emergency TCI with coronary artery (CA) stenting and had been scheduled for the second stage of myocardial revascularization, elective CB. 98 of these patients have passed the second stage of myocardial revascularization while 53 patients failed to appear for the second stage of surgical treatment for IHD. The control group consisted of 116 patients scheduled for elective CB based on results of elective coronary angiography (CAG). Using the continuous sampling method, a group of patients (n=51) was formed, who were admitted for elective CB on schedule within three weeks of the same month (March, 2011). The other part of patients (n=65) included patients who failed to appear for the surgery for various reasons (continuous sampling) between January 1, 2010 and March 31, 2011. Results. 35 % of patients, who had had TCI for ACS, failed to appear for the next CB surgery. The groups differed in rates of fear of surgery (р=0.017), repeated CA stenting during the waiting for CB (р=0.002), and exacerbation of concurrent disease (р=0.014). Conclusion. The following reasons were associated with the failure to appear for the surgery: repeated TCI for recurrent IHD exacerbation; patient’s refusal of the surgery due to feeling better or fear of surgery; and death of the patient at the outpatient stage.
  1. 2011 ACCF / AHA Guideline for Coronary Artery Bypass Graft Surgery. A report of the American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines. Developed in collaboration with the American Association for Thoracic Surgery, Society of Cardiovascular Anesthesiologists, and Society of Thoracic Surgeons. J Am Coll Cardiol: 2011:58 (24):123–210.
  2. Chen LY, Lennon RJ, Grantham JA et al. In-hospital and long-term outcomes of multivessel percutaneous coronary revascularization after acute myocardial infarction. Am J Cardiol. 2005 Feb 1;95 (3):349–54.
  3. Khattab AA1, Abdel-Wahab M, Röther C et al. Multi-vessel sten­ting during primary percutaneous coronary intervention for acute myocardial infarction. A single center experience. Clin Res Cardiol. 2008 Jan;97 (1):32–8.
  4. Тарасов Р. С., Ганюков В. И., Кротиков Ю. В. и др. Множест­венное стентирование в сравнении с этапной реваскуляризацией у больных инфарктом миокарда с элевацией сегмента ST при многососудистом поражении коронарного русла. Журнал Интервенционная кардиология. 2012;28:10–17.
  5. Kong JA, Chou ET, Minutello RM et al. Safety of single versus multi-vessel coronary artery disease: report from the New-York State Angioplasty Registry. Coron Artery Dis. 2006 Feb;17 (1):71–5.
  6. Kim MC1, Jeong MH, Ahn Y et al. What is optimal revascularization strategy in patients with multivessel coronary artery disease in non-ST-elevation myocardial infarction? Multivessel or culprit-only revascularization. Int J Cardiol. 2011 Dec 1;153 (2):148–53.
  7. Meliga E, Fiorina C, Valgimigli M et al. Early angio-guided complete revascularization versus culprit vessel PCI followed by ische­mia-guided staged PCI in STEMI patients with multivessel disease. J Interv Cardiol. 2011 Dec;24 (6):535–41.
  8. Abe D, Sato A, Hoshi T et al. Initial culprit-only versus initial multivessel percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction: results from the Ibaraki Cardiovascular Assessment Study registry. Heart Vessels. 2014 Mar;29 (2):171–7.
  9. Lu C, Huang H, Li J et al. Complete versus culprit-only revascularization during primary percutaneous coronary intervention in ST-elevation myocardial infarction patients with multivessel disease: a meta-analysis. Kaohsiung J Med Sci. 2013 Mar;29 (3):140–9.
  10. Lee HW, Hong TJ, Yang MJ et al. Korea Acute Myocardial Infarction Registry Investigators. Comparison of infarct-related artery vs multivessel revascularization in ST-segment elevation myocardial infarction with multivessel disease: analysis from Korea Acute Myocardial Infarction Registry. Cardiol J. 2012;19 (3):256–66.
  11. Баяндин Н. Л., Васильев К. Н., Гендлин Г. Е. Факторы, определяющие прогноз аортокоронарного шунтирования у больных ранней постинфарктной стенокардией. Российский кардиологический журнал. 2010;4:29–34.
  12. Sobolev BG1, Levy AR, Kuramoto L et al. The risk of death associated with delayed coronary artery bypass surgery. BMC Health Serv Res. 2006 Jul 5;6:85.
  13. Сумин А. Н., Осокина А. В., Кочергина А. М. Проблемы «листа ожидания»: причины отказов пациентов от планового коронарного шунтирования. Российский кардиологический журнал. 2012;5 (97):63–69.
  14. Sobolev BG, Fradet G, Kuramoto L, Rogula B. The occurrence of adverse events in relation to time after registration for coronary artery bypass surgery: a population-based observational study. J Cardiothorac Surg. 2013 Apr 11;8:74.
  15. Seo SM, Kim TH, Kim CJ et al. Korean Acute Myocardial Infarction Registry Investigators. Prognostic impact of significant non-infarct-related left main coronary artery disease in patients with acute myocardial infarction who receive a culprit-lesion percutaneous coronary intervention. Coron Artery Dis. 2012 Aug;23 (5):307–14.
  16. Kim KH, Kim WH, Park HW et al. Impact of plaque composition on long-term clinical outcomes in patients with coronary artery occlusive disease. Korean Circ J. 2013 Jun;43 (6):377–83.
  17. Wu C, Dyer AM, Walford G et al. Incomplete revascularization is associated with greater risk of long-term mortality after stenting in the era of first generation drug-eluting stents. Am J Cardiol. 2013 Sep 15;112 (6):775–81.
  18. Southern DA, Izadnegahdar M, Humphries KH et al. Trends in wait times for cardiac revascularization. Can J Cardiol. 2011 Mar-Apr;27 (2):262.e21–7.
  19. Тарасов Р. С., Ганюков В. И., Шушпанников П. А., и др. Исходы различных стратегий реваскуляризации у больных инфарктом миокарда с элевацией сегмента ST при многососудистом поражении в зависимости от тяжести стенозирования коронарного русла по шкале «SYNTAX». Российский кардиологический журнал. 2013;2 (100):31–37.
Sumin A.N., Osokina A.V., Ivanov S.V. et al. Failure of patients to appear for coronary bypass surgery after a successful primary transcatheter intervention. Russian Heart Journal. 2014;77 (3):144–150

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