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Temporal trends in major angioplasty complications: technical issues and the case for on‐site coronary surgery
Author(s) -
Mishra K. J.,
Sage P. R.,
Philpott A. C.,
Zeitz C. J.,
Horowitz J. D.
Publication year - 2006
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/j.1445-5994.2006.01101.x
Subject(s) - medicine , conventional pci , percutaneous coronary intervention , angioplasty , bypass grafting , audit , incidence (geometry) , artery , cardiology , surgery , myocardial infarction , physics , management , economics , optics
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.