✦ LIBER ✦

Emergency bypass surgery for failed coronary interventions

✍ Scribed by Topaz, On ;Salter, David ;Janin, Yves ;Vetrovec, George

Publisher: John Wiley and Sons
Year: 1997
Tongue: English
Weight: 97 KB
Volume: 40
Category: Article
ISSN: 0098-6569
DOI: 10.1002/(sici)1097-0304(199701)40:1<55::aid-ccd11>3.0.co;2-t

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✦ Synopsis

Percutaneous dilation will never be entirely free from risks . . . attempts [are made] to define the role of the surgeon in this controversial new procedure'' [1]. ''If PTCA [percutaneous transluminal coronary angioplasty] is indicated, it is only logical that immediate coronary artery bypass should be indicated for PTCA failure'' [2]. ''PTCA is injurious and a successful operation cannot always reverse this damage'' [3]. ''Patients who require immediate CABG [coronary artery bypass grafting] after a failed PTCA seem to fare worse than patients undergoing elective operations'' [4].

88In any patient with ongoing infarction . . . as the result of failed coronary angioplasty, delays in achieving reperfusion should be identified and strategies aimed at reducing these delays should be developed'' [5].

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