Early post operative outcome of CABG In patients with previous coronary stenting | ||
| The Egyptian Journal of Surgery | ||
| Volume 44, Issue 1, January 2025, Pages 98-105 PDF (324.39 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2024.306180.1131 | ||
| Authors | ||
| Moustafa G. E. El Barbary; Hany A. E. Metwaly; Mohsen M. A. Fadala; Ghada E. Farahat* | ||
| Department of Cardiothoracic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt. | ||
| Abstract | ||
| Background: Rates of percutaneous coronary intervention (PCI) have increased dramatically in recent years, whereas rates of coronary artery bypass grafting (CABG) have remained remarkably stable. Aim: To evaluate the impact of coronary stenting on coronary artery pathology and the way of grafting, the early post- operative outcomes and complications of coronary artery bypass grafting surgery following previous revascularization by percutaneous intervention (PCI). Patients and methods: This prospective study was conducted on One hundred and twenty patients with multi-vessel CAD and indicated for CABG in ASU hospital and Sheikh Zayed specialized hospital between February 2019 and March 2024. Results: There was no significant difference in the incidence of myocardial infarction and cerebrovascular stroke between group A and group B, no significant difference in postoperative cardiac enzymes, ECG, or echocardiography after 3 months of EF, respectively. Conclusion: Our study revealed that there was a significant difference in coronary artery pathology, with severe atherosclerosis in group A compared to group B. Total bypass time and cross clamp time increased in group B. Additionally, there was a slight decrease in EF follow-up in group A after 3 months. | ||
| Keywords | ||
| CABG; coronary stenting; post-operative outcome | ||
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