TY  - BOOK
AU  - Lhermusier, Thibault
AU  - Magalhaes, Marco A
AU  - Ota, Hideaki
AU  - Pichard, Augusto D
AU  - Satler, Lowell F
AU  - Suddath, William O
AU  - Torguson, Rebecca
AU  - Waksman, Ron
TI  - Comparison of clinical outcomes in patients presenting with an acute coronary syndrome due to stent thrombosis or saphenous vein graft occlusion and undergoing percutaneous coronary intervention
SN  - 1878-0938
KW  - *Acute Coronary Syndrome/th [Therapy]
KW  - *Coronary Artery Bypass/ae [Adverse Effects]
KW  - *Coronary Restenosis/co [Complications]
KW  - *Drug-Eluting Stents/ae [Adverse Effects]
KW  - *Graft Occlusion, Vascular/co [Complications]
KW  - *Percutaneous Coronary Intervention/mt [Methods]
KW  - Academic Medical Centers
KW  - Acute Coronary Syndrome/di [Diagnosis]
KW  - Acute Coronary Syndrome/et [Etiology]
KW  - Acute Coronary Syndrome/mo [Mortality]
KW  - Aged
KW  - Aged, 80 and over
KW  - Analysis of Variance
KW  - Cause of Death
KW  - Chi-Square Distribution
KW  - Cohort Studies
KW  - Coronary Artery Bypass/mt [Methods]
KW  - Coronary Restenosis/ra [Radiography]
KW  - Coronary Restenosis/th [Therapy]
KW  - District of Columbia
KW  - Female
KW  - Graft Occlusion, Vascular/ra [Radiography]
KW  - Graft Occlusion, Vascular/th [Therapy]
KW  - Hospital Mortality/td [Trends]
KW  - Humans
KW  - Kaplan-Meier Estimate
KW  - Male
KW  - Middle Aged
KW  - Percutaneous Coronary Intervention/mo [Mortality]
KW  - Prognosis
KW  - Retrospective Studies
KW  - Risk Assessment
KW  - Saphenous Vein/tr [Transplantation]
KW  - Survival Analysis
KW  - Treatment Outcome
KW  - MedStar Washington Hospital Center
KW  - MedStar Heart Institute
KW  - Comparative Study
KW  - Journal Article
N1  - Available in print through MWHC library: 2002 - present
N2  - BACKGROUND: Patients presenting with ST or SVG occlusion are at increased risk of adverse outcomes. There is limited literature comparing the outcome of such patients; CONCLUSIONS: As compared to patients undergoing NC-PCI, patients with ST have greater rates of in-hospital mortality and major bleeding as well as 30-day MACE rate. The 1-year MACE rate is similar in patients with ST and SVG occlusion who undergo PCI.Copyright (c) 2015. Published by Elsevier Inc; METHODS: A cohort of 415 consecutive patients presenting to the MedStar Washington Hospital Center undergoing percutaneous coronary intervention (PCI) for an acute coronary syndrome secondary to ST (n=136) or SVG occlusion (n=279) was studied. The SVG group was subdivided into patients who underwent PCI in the occluded SVG (SVG-PCI: n=75) or in the subtended native coronary artery (NC-PCI: n=204). The analyzed clinical parameters were in-hospital complications as well as 30-day and 1-year major adverse cardiac events (MACE). MACE was defined as all-cause mortality, Q-wave myocardial infarction, or target vessel revascularization; OBJECTIVE: To compare the clinical outcomes of patients undergoing percutaneous intervention for stent thrombosis (ST) or saphenous vein graft (SVG) occlusion; RESULTS: The rates of death, major bleeding, and length of hospital stay were significantly different between the ST and NC-PCI groups. The SVG-PCI group had a shorter hospital stay. The 30-day MACE rate was significantly different in the ST and NC-PCI groups (18.9% vs. 7.5%; risk ratio=0.40, 95% CI=0.20-0.81, p=0.03) but not in the ST and SVG-PCI groups (18.9% vs. 15.1%; p=0.55, risk ratio=0.80, 95% CI=0.38-1.68). There were no differences in the 1-year MACE rate
UR  - http://dx.doi.org/10.1016/j.carrev.2015.10.002
ER  -