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Research Article

JCDR. 2021; 12(6): 1675-1687


Perioperative outcome of Coronary Artery Bypass Grafting in patients with or without Percutaneous Coronary Intervention

Dr. Amaresh Rao Malempati, Dr. Palanki Surya Satya Gopal, Dr. Kalyan Babu B, Dr. Madhusudan Lal Kummari, Dr. Kaladhar Bomma.


Abstract

Background: Coronary artery disease (CAD) is a major cause of death in developed
countries, and this disease is diagnosed in an increasing number of adults nowadays,
particularly among young patients
Aims: The study aims to compare the differences in the early outcomes of patients
undergoing Coronary Artery Bypass Grafting (CABG) who had prior Percutaneous
Transluminal Coronary Angioplasty versus those who have not.
Materials and methods: Perioperative outcome of CABG (Coronary Artery Bypass
Grafting) in patients with or without primary PCI (Percutaneous Coronary Intervention)
single institute a retrospective and prospective study of 100 cases during the period of 2016
to 2020.
Results: The EuroScore in PCI group is higher than the Non PCI group undergoing CABG
and difference was found to be statistical significance. The need for post surgery IABP was
higher in Non PCI group. ICU stay the patient in Non PCI had lower ICU stay then PCI
group which is having statistical significance. The mortality was higher in Non PCI group
compare to PCI group but not statistical significance.
Conclusions: In conclusion, CABG remains the best revascularization strategy in MVD(
Multi vessel Disease), conferring reduced mortality and repeat revascularization risk. The
absolute risk increases in stroke associated with CABG does not outweigh the benefit in the
long-term survival achievable with this technique of revascularization.

Key words: Coronary Artery Bypass Grafting (CABG), Percutaneous Coronary Interventions, revascularization






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