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1390/8/21، جلد ۳، شماره ۱، صفحات -
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژههای فارسی مقاله |
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| عنوان انگلیسی |
Rate of Urgent Coronary Artery Bypass Grafting in Elective Percutaneous Coronary Intervention (PCI) |
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| چکیده انگلیسی مقاله |
Background: Latest research shows that about 0.5% of percutaneous coronary intervention (PCI) patients will need urgent coronary artery bypass grafting (CABG) because of coronary accidents. The ACC/AHA guidelines regard on-site cardiac surgery back-up obligatory for PCI centers. It seems the need for urgent CABG in some Iranian PCI centers is less than 0.5%, which may affect decision-making for performing PCI without on-site surgical back-up in the same condition in Iran. Methods: This retrospective study reviewed all elective PCI documents in two large educational centers with on-site cardiac surgery back-up in Tehran from April 2005 to April 2006. CABG immediately after PCI or until 24 hours after PCI was considered urgent. Results: There were 1533 PCI patients (71% male) and 1936 PCI vessels in our study. The patients’ mean age was 56 (95% CI 46-66) years. The prevalence of hypertensives, smokers, and diabetics was 42%, 44%, and 24%, respectively. The mean stenotic lesion length was 20.5 mm (95% CI 19.5-21), and the mean lesion diameter was 3.02 mm (95% CI 2.58–3.52). There were 98 (5.8%) unsuccessful PCI procedures. The relative frequency of PCI on different vessels was 1070 (55%) on the left anterior descending artery (LAD), 591(30.5%) on the proximal part of LAD, 286 (14.5%) on left circumflex artery (LCX), 438 (22%) on the right coronary artery (RCA), and 142 (7.2%) on other arteries such as the obtuse marginal (OM) or diagonal arteries. There was only one case of urgent CABG in these patients. Conclusion: The recent widespread use of coronary stenting, new antiplatelet drugs, and increased skills of operators has ushered in a considerable reduction in urgent CABG after PCI. |
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| کلیدواژههای انگلیسی مقاله |
Coronary artery bypass grafting , Coronary angioplasty, Emergencies |
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| نویسندگان مقاله |
17679---17680--- |
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| نشانی اینترنتی |
http://jthc.tums.ac.ir/index.php/jthc/article/viewArticle/76 |
| فایل مقاله |
فایلی برای مقاله ذخیره نشده است |
| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
Original Articles |
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