Temporal trends in major angioplasty complications: technical issues and the case for on-site coronary surgery

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The need for on-site cardiac surgery has been a component of guidelines for the practice of elective and emergency percutaneous coronary intervention (PCI). However, proportions of cases requiring emergency coronary artery bypass grafting (CABG) post-PCI have fallen. This audit of complications of PCI confirms the very low incidence of need for emergency CABG, despite increasingly complex PCI caseload. Although the availability of stents/antiplatelet pharmacotherapy probably has contributed to improved PCI outcomes, the avoidance of emergency CABG is not contingent on either extensive use of glycoprotein IIb/IIIa inhibitors or strategies of universal stenting.

Keywords: acute myocardial infarction; coronary artery bypass grafting; coronary stent; glycoprotein IIb/IIIa inhibitor; percutaneous coronary intervention

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1445-5994.2006.01101.x

Affiliations: Cardiology Unit, The Queen Elizabeth Hospital

Publication date: July 1, 2006

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