Affordable Access

Publisher Website

Hybrid Approach of Percutaneous Coronary Intervention Followed by Minimally Invasive Valve Operations

Authors
Journal
The Annals of Thoracic Surgery
0003-4975
Publisher
Elsevier
Volume
97
Issue
6
Identifiers
DOI: 10.1016/j.athoracsur.2014.02.039
Disciplines
  • Medicine

Abstract

Background A subset of patients requiring coronary revascularization and valve operations may benefit from a hybrid approach of percutaneous coronary intervention (PCI) followed by a minimally invasive valve operation, rather than the standard combined median sternotomy coronary artery bypass grafting (CABG) and a valve operation. This study sought to evaluate the outcomes of this approach in a heterogeneous group of patients with concomitant coronary artery and valvular disease. Methods We retrospectively evaluated 222 consecutive patients with coronary artery and valvular heart disease who underwent PCI followed by elective minimally invasive valve operations at our institution between February 2009 and August 2013. Results A total of 136 men and 86 women were identified. The mean age was 74.6 ± 8.2 years, with 181 (81.5%) undergoing 1-vessel, 27 (12.2%) undergoing 2-vessel, and 14 (6.3%) undergoing 3-vessel PCI. Within a median of 38 days (interquartile range [IQR] 18–65 days), 182 (82%) patients underwent primary and 34 (15.3%) underwent repeated valve operations, which consisted of 185 (83.3%) single-valve and 37 (16.7%) double-valve procedures. Operative mortality occurred in 8 patients (3.6%). At a mean follow-up of 16.2 ± 12 months, 6 patients required PCI, with target-vessel revascularization performed in 4 patients (2.1%). Survival at 1 and 4.5 years was 91.9% and 88.3%, respectively. Conclusions In a heterogeneous group of patients, a hybrid approach of PCI followed by minimally invasive valve operations in patients undergoing primary or repeated valve operations can be performed with excellent outcomes.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

Effectiveness of same day percutaneous coronary in...

on The American Journal of Cardio... Dec 01, 2006

Effectiveness of Same Day Percutaneous Coronary In...

on The American Journal of Cardio... Jan 01, 2006

Response to staged percutaneous coronary intervent...

on Journal of Thoracic and Cardio... October 2013
More articles like this..