Coronary Artery Bypass Grafting After Percutaneous Coronary Intervention

Findings from a large observational study support the safety of a “PCI first” strategy in many patients.

One of the factors contributing to the rapid growth of percutaneous coronary intervention is the presumption that if PCI fails, coronary artery bypass grafting remains an option. However, contemporary data on the risks of CABG in patients who have previously undergone PCI are scarce. In this study, investigators used an Australasian surgery database to compare outcomes after first-time, isolated CABG in 1457 patients who had undergone PCI during a prior hospitalization and in 11,727 patients without a history of PCI.

Patients with a history of PCI had less-severe disease and a lower surgical risk profile and received fewer distal anastamoses than those without a history of PCI. After propensity-score adjustment for patient characteristics, p…

Reviewing Author

Howard C. Herrmann, MD

Disclosures

Consultant/Advisory BoardAffluent Medical; Artedrone; Caranx; Johnson & Johnson; Medtronic; Prolifagen; Wells Fargo

EquityMicrointerventional Devices, Inc.

RoyaltiesUniversity of Pennsylvania

Grant/Research SupportAbbott Vascular; Edwards Lifesciences; Johnson & Johnson; Medtronic

Editorial BoardsCatheterization and Cardiovascular Interventions; Journal of the American College of Cardiology; Circulation: Cardiovascular Interventions; JACC Cardiovascular Interventions; JACC Case Reports; JSCAI