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Article
Coronary artery bypass grafting after percutaneous coronary intervention
Journal of the College of Physicians and Surgeons Pakistan
  • Syed Shahabuddin, Aga Khan University
  • Syed Ahmed Sami, Aga Khan University
  • Junaid Alam Ansari, Karachi Institute of Heart Disease
  • Shazia Perveen, Aga Khan University
  • Shumaila Furnaz, Aga Khan University
  • Saulat H. Fatimi, Aga Khan University
  • Hasanat Sharif, Aga Khan University
Publication Date
5-1-2012
Document Type
Article
Disciplines
Abstract

Following percutaneous intervention (PCI), restenosis, progression of disease and multi-vessel involvement may require further intervention in the form of surgical revascularization. Patients with coronary artery bypass grafting (CABG) done after PCI were evaluated to find out the reason for the need of surgical revascularization. Over a period of 12 months, 610 patients underwent CABG. Out of them, 34 patients had previous PCI/stenting. Coronary risk factors including hypertension in 85%, diabetes mellitus in 60%, dyslipidemia in 60%, tobacco use in 50% and a positive family history was present in 53% of the patients. All patients were symptomatic. Multi-vessel disease was present in 67% and single vessel in 4.7%. The extent of disease and stenosis of stents were responsible for reintervention. Careful selection of patients is required in presence of multiple risk factors for coronary artery disease to provide maximum benefit by either PCI or CABG.

Citation Information
Syed Shahabuddin, Syed Ahmed Sami, Junaid Alam Ansari, Shazia Perveen, et al.. "Coronary artery bypass grafting after percutaneous coronary intervention" Journal of the College of Physicians and Surgeons Pakistan Vol. 22 Iss. 5 (2012) p. 340 - 1
Available at: http://works.bepress.com/saulat_fatimi/59/