Related Experiment Video

Updated: May 22, 2026

Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft
05:25

Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft

Published on: September 15, 2023

Coronary artery bypass grafting after percutaneous coronary intervention

Syed Shahabuddin1, Syed Ahmed Sami, Junaid Alam Ansari

  • 1Department of Surgery, The Aga Khan University Hospital, Karachi. syed.shahab@aku.edu

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|April 28, 2012
PubMed

Insights

Patients needing coronary artery bypass grafting (CABG) after percutaneous intervention (PCI) often have complex coronary artery disease. Restenosis and disease progression were key reasons for subsequent surgical revascularization in this study.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Percutaneous intervention (PCI) is a common treatment for coronary artery disease (CAD).
  • Restenosis, disease progression, and multi-vessel involvement after PCI can necessitate further intervention.
  • Coronary artery bypass grafting (CABG) is a surgical option for complex CAD cases.

Purpose of the Study:

  • To evaluate patients who underwent CABG after previous PCI.
  • To identify the primary reasons for requiring surgical revascularization post-PCI.
  • To analyze the characteristics and risk factors of patients needing repeat revascularization.

Main Methods:

  • Retrospective analysis of 610 patients undergoing CABG over 12 months.
  • Identification of 34 patients with prior PCI/stenting.
  • Assessment of coronary risk factors, disease extent, and reasons for reintervention.

Main Results:

  • 34 out of 610 patients (5.6%) had undergone prior PCI/stenting.
  • High prevalence of risk factors: hypertension (85%), diabetes mellitus (60%), dyslipidemia (60%), tobacco use (50%), family history (53%).
  • Multi-vessel disease (67%) and stent stenosis were primary drivers for reintervention.

Conclusions:

  • Restenosis and disease progression following PCI are significant reasons for subsequent CABG.
  • Patients requiring revascularization often present with multiple cardiovascular risk factors.
  • Careful patient selection is crucial for optimizing outcomes with either PCI or CABG in complex CAD.

More Related Videos

Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model12:00

Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model

Published on: November 24, 2014

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)

Published on: April 24, 2017

Related Concept Videos

Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...