Rescue Percutaneous Coronary Intervention for Acute Ischemic Complications of CABG and non-CABG Cardiac Surgery : A single center hight-volume experience

Conclusion :

• Following cardiac surgery, emergent PCI revascularization are low-incidence cardiac events but yield high level of complications due to the high-risk cardiac profile of the patients in this setting (STEMI and cardiogenic shock).
• After non-CABG cardiac surgery, acute ischemia is a rare event due to complex mechanisms (mechanics cause and thrombosis) warranting a cautious approach of the angioplasty procedure.
• Initial prognosis seems better in non-CABG pts compare to CABG patients, probably in relation with the absence of prior ischemic cardiomyopathy in these patients. Larger multicenter registries would be useful to confirm such hypothesis.