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Sinkov M.A.

Research Institute for Complex Issues of Cardiovascular Diseases

Kochergin N.A.

Research Institute for Complex Issues of Cardiovascular Diseases

Arnt A.A.

Research Institute for Complex Issues of Cardiovascular Diseases

Isakov L.K.

Kemerovo State Medical University

Sinkova M.N.

Kemerovo State Medical University

Ganyukov V.I.

Research Institute for Complex Issues of Cardiovascular Diseases

Results of percutaneous coronary interventions in patients with coronary artery disease and previous coronary artery bypass grafting

Authors:

Sinkov M.A., Kochergin N.A., Arnt A.A., Isakov L.K., Sinkova M.N., Ganyukov V.I.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(4): 237‑242

DOI: 10.17116/kardio202114041237

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To cite this article:

Sinkov MA, Kochergin NA, Arnt AA, Isakov LK, Sinkova MN, Ganyukov VI. Results of percutaneous coronary interventions in patients with coronary artery disease and previous coronary artery bypass grafting. Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(4):237‑242. (In Russ.)
https://doi.org/10.17116/kardio202114041237

 
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OBJECTIVE

To study the results of percutaneous coronary interventions (PCI) in patients with coronary artery disease (CAD) and venous coronary artery bypass graft dysfunction after previous coronary artery bypass grafting (CABG).

MATERIAL AND METHODS

A retrospective analysis included 87 patients with coronary artery disease who underwent PCI for venous coronary artery bypass graft dysfunction and chronic coronary artery occlusion. PCI for coronary artery bypass graft dysfunction was performed in 63 patients, recanalization of coronary artery occlusion — in 24 patients.

RESULTS

Analysis of early (within 30 days) results showed that both groups were comparable by primary endpoint rate (mortality, myocardial infarction, stroke, repeated revascularization of the target coronary artery) and incidence of combined endpoint (overall number of adverse cardiovascular events). Analysis of long-term outcomes (within 36 months) showed that patients after PCI for coronary artery bypass graft dysfunction were characterized by higher incidence of adverse cardiovascular events (42.9 vs 18.2%, p=0.028) including nonfatal myocardial infarction (33.9 vs 9.1%, p=0.028) compared to PCI for coronary artery occlusion.

CONCLUSION

PCI for coronary artery bypass graft dysfunction is characterized by higher incidence of adverse cardiovascular events in long-term period compared to PCI for coronary artery occlusion.

Keywords:

CABG
PCI for coronary artery bypass graft dysfunction
recanalization of coronary artery occlusion
repeated myocardial revascularization

Authors:

Sinkov M.A.

Research Institute for Complex Issues of Cardiovascular Diseases

Kochergin N.A.

Research Institute for Complex Issues of Cardiovascular Diseases

Arnt A.A.

Research Institute for Complex Issues of Cardiovascular Diseases

Isakov L.K.

Kemerovo State Medical University

Sinkova M.N.

Kemerovo State Medical University

Ganyukov V.I.

Research Institute for Complex Issues of Cardiovascular Diseases

Received:

06.11.2020

Accepted:

10.12.2020

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