Comparison of Coronary Artery Bypass Grafting Outcomes in patients with and without Prior Percutaneous Coronary Artery Intervention : Coronary Artery Bypass Grafting Outcomes

Meenal  Sikander Khan; Haseeb  Ahmed; Rafat  Shakil; Azam  Jan; Mujahid  ul Islam; Bahauddin  Khan; Ahmad  Deedar Khan; Imtiaz  Ahmad; Noor  Ali Shah; Zarkesha  Aman

doi:10.54393/pjhs.v4i04.599

Authors

Meenal Sikander Khan Rehman Medical Institute, Peshawar, Pakistan
Haseeb Ahmed Rehman Medical Institute, Peshawar, Pakistan
Rafat Shakil Rehman Medical Institute, Peshawar, Pakistan
Azam Jan Rehman Medical Institute, Peshawar, Pakistan
Mujahid ul Islam Department of Anesthesia, Rehman Medical Institute, Peshawar, Pakistan
Bahauddin Khan Rehman Medical Institute, Peshawar, Pakistan
Ahmad Deedar Khan Rehman Medical Institute, Peshawar, Pakistan
Imtiaz Ahmad Rehman Medical Institute, Peshawar, Pakistan
Noor Ali Shah Department of Intensive Care Unit, Rehman Medical Institute, Peshawar, Pakistan
Zarkesha Aman Department of Ophthalmology, Hayatabad Medical Complex, Peshawar, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i04.599

Keywords:

Percutaneous Coronary Intervention, Coronary Artery Bypass Grafting, Cardiopulmonary Bypass, Coronary Artery Disease

Abstract

Percutaneous coronary intervention (PCI) is a crucial treatment for patients with coronary artery disease (CAD), especially high-risk patients like advanced age, diabetes, chronic kidney disease, left main lesions, and multi vessel CAD. Objective: To compare coronary artery bypass grafting outcomes in patients with and without prior percutaneous coronary artery intervention. Methods: This retrospective 5-year cross-sectional study was conducted on 2579 patients operated for CABG in between August 1^st, 2017, and December 31^st, 2021 in a tertiary care hospital. All patients who underwent CABG were included in study, and comparison was done in patients with or without PCI. Data analysis were done by using SPSS version 23. p<0.05 was set statistically significant. Results: The results of perfusion and cross clamp time in operative room, use of IABP and reopening rates in both groups showed no statistically significant difference. The incidence of post-operative atrial fibrillation in group A is 4% Vs 1.5% in group B with significant p value of 0.028. Prolong ventilation, perioperative stroke and reintubation rates comparison in both groups were with non-significant p values. In hospital mortality was 4.5% in group A and 3.7% in group B with p-value of 0.370 which is non-significant. Conclusions: Patients with prior percutaneous coronary intervention can undergo CABG surgery with similar mortality rates as those with no prior PCI. The only significant difference in morbidity is post-operative risk of atrial fibrillation which is more in prior PCI patients’ group.

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