scholarly journals Outcomes of Coronary Artery Bypass Grafting after Extracorporeal Life Support in Patients with Cardiac Arrest or Cardiogenic Shock

2019 ◽  
Vol 52 (2) ◽  
pp. 70-77 ◽  
Author(s):  
Younghwan Kim ◽  
Yang-Hyun Cho ◽  
Ji-Hyuk Yang ◽  
Kiick Sung ◽  
Young Tak Lee ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Cardiogenic Shock ◽  
Coronary Artery Bypass ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting

Successful Coronary Artery Bypass Grafting With the Aid of a Portable Minimized Extracorporeal Life Support System

ASAIO Journal ◽  
2012 ◽  
Vol 58 (4) ◽  
pp. 337-342 ◽  
Author(s):  
Assad Haneya ◽  
Alois Philipp ◽  
Daniele Camboni ◽  
Alexander Fabricius ◽  
Claudius Diez ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Support System ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Life Support System ◽  
Artery Bypass Grafting

Emergent coronary artery bypass grafting for cardiogenic shock caused by very late drug-eluting stent thrombosis

2009 ◽  
Vol 57 (11) ◽  
pp. 609-611 ◽  
Author(s):  
Massimo Boffini ◽  
Fabrizio Ceresa ◽  
Fabrizio Sansone ◽  
Marco Ribezzo ◽  
Chiara Comoglio ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Cardiogenic Shock ◽  
Coronary Artery Bypass ◽  
Stent Thrombosis ◽  
Artery Bypass ◽  
Drug Eluting Stent ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Drug Eluting

Abstract 16253: Temporal Trends and Outcomes of Coronary Artery Bypass Grafting After Acute St-elevation Myocardial Infarction

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Ayman Elbadawi ◽  
Mohammed Elzeneini ◽  
Islam Y Elgendy ◽  
Mohamed Omer ◽  
Gbolahan O Ogunbayo ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Blood Transfusion ◽  
Hospital Mortality ◽  
Cardiogenic Shock ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting

Introduction: There is paucity of data on the outcomes of coronary artery bypass grafting (CABG) among patients presenting with ST-segment elevation myocardial infarction (STEMI). Methods: We queried the National Inpatient Sample database (2002-2016) for patients with STEMI who underwent CABG. We reported the trends in utilization of CABG for STEMI, and the associated in-hospital outcomes. Using multivariable analysis, we compared in-hospital outcomes in patients undergoing CABG on hospitalization day 1 vs. day 2 vs. day ≥3 , in the early (2002 to 2009) and contemporary cohorts (2012 to 2016). Results: Our analysis yielded 2,910,960 patients with STEMI, of whom 7.6% underwent CABG (9.6% in 2002 versus 3.9% in 2016, P trend <0.001). There was an increase in in-hospital mortality (5.8% in 2002 versus 7.6% in 2016, P trend <0.001) which corresponded to an increase in comorbidities burden among patients undergoing CABG. There was a rising trend in performing CABG on hospitalization day ≥ 3 corresponding to an increase in the utilization of MCS and pre-CABG PCI during the study years. CABG was more likely to be performed on admission day 1 in patients with anterior STEMI, cardiogenic shock or mechanical complications. In the early cohort, CABG on day 1 and day 2 was associated with higher in-hospital mortality, while in the contemporary cohort only CABG on day 1 was associated with higher in-hospital mortality compared with CABG on day ≥ 3. CABG on day 1 was associated with higher rate of cardiac arrest, hemorrhagic stroke, blood transfusion and cardiac tamponade in the earlier cohort, while in the more contemporary cohort it was associated with higher blood transfusion. Conclusions: There was a downtrend in performing CABG for STEMI, and an uptrend in in-hospital mortality after CABG. Patients undergoing emergent CABG on day 1 were more likely to have mechanical complications and cardiogenic shock and were associated with higher in-hospital mortality.

Routine Off-Pump Coronary Artery Bypass: Reasons for On-Pump Conversion

2005 ◽  
Vol 1 (1) ◽  
pp. 28-31
Author(s):  
Hitoshi Hirose ◽  
Atsushi Amano
Keyword(s):  
Cardiopulmonary Bypass ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Cardiogenic Shock ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Off Pump ◽  
Pump Coronary Artery Bypass

Objective To assess the feasibility of routine off-pump coronary artery bypass (OPCAB) and investigate risk factors for on-pump conversion. Methods Between July 1, 2002, and June 30, 2004, OPCAB was attempted for all patients who required isolated coronary artery bypass in our institution. The perioperative results of patients were prospectively entered into a structured database, and the results were analyzed to identify the risks of requirement for cardiopulmonary bypass. Results Off-pump coronary artery bypass was successfully performed in all but 9 patients, giving an OPCAB success rate of 97.3% (329/338). The reason for cardiopulmonary bypass was hemodynamic instability occurring during reoperative surgery in 7, and cardiogenic shock in 2. The OPCAB success rate was significantly higher in primary coronary artery bypass grafting (99.3%, 314/316) than in reoperative coronary artery bypass grafting (68.1%, 15/22; P < 0.0001), and higher in patients without cardiogenic shock (97.9%, 329/336) than in those with cardiogenic shock (0%, 0/2; P < 0.0005). Mean number of distal anastomoses performed under OPCAB was 3.5 ± 1.4. There were 2 hospital deaths (0.6%). During a mean follow-up period of 1.0 ± 0.4 years, 7 patients developed angina, which was treated with catheter intervention; there were no other cardiac events. Conclusion Routine OPCAB is feasible with acceptable short-term results. Patients undergoing reoperation or in persistent cardiogenic shock are more likely to require conversion to on-pump coronary artery bypass grafting.

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