Time to reperfusion and other procedural characteristics of emergency coronary artery bypass surgery after unsuccessful coronary angioplasty

Peter B. Berger, Paul E. Stensrud, Richard C. Daly, Diane Grill, Malcolm R. Bell, Kirk N. Garratt, David Holmes

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

A databank search was performed and 148 consecutive patients (mean age 59.5 ± 10.4 years) were identified who underwent emergency coronary artery bypass surgery at the Mayo Clinic between November 20, 1979, and February 12, 1992, immediately after unsuccessful coronary angioplasty. At the end of the angioplasty procedure, there was no anterograde coronary blood flow in the treated artery in 54%, ongoing chest pain in 78%, and hemodynamic compromise requiring intravenous vasopressor therapy in 25% of patients; 127 patients (86%) had at least 1 of these adverse characteristics. After leaving the catheterization laboratory, the median time to arrival in the operating room was 12 minutes. Median time from arrival in the operating room to initiation of cardiopulmonary bypass was 86 minutes, to administration or cardioplegia was 98 minutes, and to removal of the aortic cross-clamp was 135 minutes. In-hospital mortality was 11%, and 18% developed nonfatal Q-wave myocardial infarction. Thus, significant time is required to achieve surgical reperfusion after unsuccessful coronary angioplasty.

Original languageEnglish (US)
Pages (from-to)565-569
Number of pages5
JournalThe American Journal of Cardiology
Volume76
Issue number8
DOIs
StatePublished - Sep 15 1995

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Angioplasty
Coronary Artery Bypass
Reperfusion
Emergencies
Operating Rooms
Induced Heart Arrest
Hospital Mortality
Chest Pain
Cardiopulmonary Bypass
Catheterization
Arteries
Hemodynamics
Myocardial Infarction
Databases
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Time to reperfusion and other procedural characteristics of emergency coronary artery bypass surgery after unsuccessful coronary angioplasty. / Berger, Peter B.; Stensrud, Paul E.; Daly, Richard C.; Grill, Diane; Bell, Malcolm R.; Garratt, Kirk N.; Holmes, David.

In: The American Journal of Cardiology, Vol. 76, No. 8, 15.09.1995, p. 565-569.

Research output: Contribution to journalArticle

Berger, Peter B. ; Stensrud, Paul E. ; Daly, Richard C. ; Grill, Diane ; Bell, Malcolm R. ; Garratt, Kirk N. ; Holmes, David. / Time to reperfusion and other procedural characteristics of emergency coronary artery bypass surgery after unsuccessful coronary angioplasty. In: The American Journal of Cardiology. 1995 ; Vol. 76, No. 8. pp. 565-569.
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