You are here

  • Home
  • Archive
  • Volume 85, Issue 6
  • Outcomes following coronary artery bypass grafting and percutaneous transluminal coronary angioplasty in the stent era: a prospective study of all 9890 consecutive patients operated on in Scotland over a two year period

Article Text

Article menu
Download PDFPDF
Interventional cardiology surgery
Outcomes following coronary artery bypass grafting and percutaneous transluminal coronary angioplasty in the stent era: a prospective study of all 9890 consecutive patients operated on in Scotland over a two year period
  1. J P Pella,
  2. D Walshc,
  3. J Norrieb,
  4. G Bergd,
  5. A D Colquhoune,
  6. K Davidsond,
  7. H Eteibaf,
  8. A Faichneyd,
  9. A Flapang,
  10. K J Hoggf,
  11. R R Jeffreyj,
  12. K Jenningsi,
  13. J McArthurf,
  14. P Mankadh,
  15. K Oldroydk,
  16. A C H Pellk,
  17. I R Starkeyg
  1. aDepartment of Medical Cardiology, University of Glasgow, Glasgow, UK, bDepartment of Biostatistics, University of Glasgow, cInformation and Statistics Division, Common Services Agency, Edinburgh, UK, dDepartment of Cardiac Surgery, North Glasgow Hospitals University NHS Trust, Glasgow, UK, eDepartment of Anaesthetics, North Glasgow Hospitals University NHS Trust, fDepartment of Cardiology, North Glasgow Hospitals University NHS Trust, gDepartment of Cardiology, Lothian University Hospitals NHS Trust, Edinburgh, UK, hDepartment of Cardiac Surgery, Lothian University Hospitals NHS Trust, iDepartment of Cardiology, Grampian University Hospitals NHS Trust, Aberdeen, UK, jDepartment of Cardiac Surgery, Grampian University Hospitals NHS Trust, kDepartment of Cardiology, Lanarkshire Acute Hospitals Trust, Lanarkshire, UK
  1. Dr J Pelljill.pell{at}glasgow-hb.scot.nhs.uk

Abstract

OBJECTIVE To determine current outcomes of percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass grafting (CABG).

DESIGN The Scottish coronary revascularisation register provided prospectively collected data on case mix and in-hospital complications for all revascularisation procedures between April 1997 and March 1999 (4775 PTCA; 5115 CABG). Linkage to routine hospital discharge and death data provided follow up information on survival and repeat revascularisation.

RESULTS Stents were used in 51% of PTCA procedures. CABG patients were older, had more severe coronary disease, and had greater comorbidity. PTCA was more likely to be undertaken as an urgent or emergency procedure. Perioperative death and urgent surgery followed 0.3% and 0.6% of PTCA procedures, respectively. Case fatality rates were higher following CABG, with 6.7% dead within two years compared with 3.4% following PTCA. PTCA was more often followed by readmission for ischaemic heart disease, repeat angiography, or revascularisation: 22.8% of patients had repeat revascularisation within two years, compared with 1.8% following CABG.

CONCLUSIONS The severity of coronary heart disease was greater than in previously published registry studies and randomised trials. Despite this, overall survival figures were comparable and repeat revascularisation rates lower, particularly following PTCA. Perioperative death and urgent surgery following PTCA were also lower. These favourable outcomes may be attributable, in part, to increased use of bail out and elective stenting.

  • percutaneous transluminal coronary angioplasty
  • coronary artery bypass grafting
  • survival
  • outcome

https://doi.org/10.1136/heart.85.6.662

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text