Revascularization with PCI or CABG
reestablishes adequate flow of freshly oxygenated blood to these areas.
Acute kidney injury (AKI) occurs in nearly 30 percent of patients undergoing CABG
surgeryi, and AKI often requires patients to undergo dialysis.
In patients with and without CKD, ARF occurred less commonly after revascularization with PCI versus CABG
(hazard ratios, 0.28 and 0.20, respectively).
The EXCEL trial randomized 1,905 patients with a blockage in their left main coronary artery--the most important artery (see Box on Page 2)-to CABG
or stenting with the new everolimus-eluting Xience stent.
Patients with ST-elevation myocardial infarction, a history of severe liver disease, neutropenia, thrombocytopenia with contraindications or intolerance to aspirin and clopidogrel, a history of previous CABG
, non-cardiac disease limiting the life expectancy, severe valvular disease requiring surgical treatment, and those requiring non-cardiac surgery in a short time were excluded from the study.
Major events like acute or subacute stent thrombosis, death, fatal or nonfatal MI, urgent CABG
didn't occur in any patient.
The staged approach maybe performed with carotid surgery followed by coronary bypass grafting (CABG
) or the reverse (CABG
first and then carotid surgery).
The selection of CABG
or PCI was based on clinical and anatomical factors, contemporary treatment guidelines,, and patients' preferences.
In addition to the statistically significant reduction in mortality in the Isolated CABG
subgroup, Tenax also presented data showing a substantial improvement in post-operative hemodynamics in Isolated CABG
patients treated with levosimendan.
There is a clear relationship between hospital CABG
volume and mortality in Europe, implying a "safe" threshold volume of 415 cases per year.
Included studies were randomized controlled trials (RCTs), prospective two-armed studies, or retrospective studies that compared on-pump versus off-pump CABG
in elderly patients, aged [greater than or equal to]70 years, and reported quantitatively the outcomes of interest.
The patients either received aspirin within six hours of CABG
or had it given after 12 hours.
's impact on all-cause mortality was diminished in older STICH participants because of their greater comorbidity burden and the competing risk of noncardiovascular death, he added.
The convenience sample consisted of 63 patients with coronary artery disease who were hospitalized waiting for CABG
. The inclusion criteria were: more than 18 years of age, with clinical conditions (physical and psychological) that allowed the patient to answer the questions.