Journal article

Publication year: 2011

Pages: E53-E57

Journal: The Journal of Thoracic and Cardiovascular Surgery

Volume number: 142

Issue number: 2

ISSN: 0022-5223

Open access status: Bronze

DOI Link: https://doi.org/10.1016/j.jtcvs.2011.04.018

Publisher: Elsevier

Abstract: 

Objective: A negative relationship between coronary stenting before coronary artery bypass graft (CABG) surgery and the perioperative mortality and morbidity has been shown in diabetic patients. We tried to assess this relationship in a 2-institution database.

Methods: In the years 2005 and 2006, 1125 of 3311 patients undergoing CABG surgery had diabetes mellitus (33.9%), and 185 (16.4%) of the diabetic patients had at least 1 previous stent. There was no evidence of any clinically significant difference in the preoperative and intraoperative parameters between diabetics with or without previous stents.

Results: Thirty-day mortality (no-stent group, 3.86%; stent group, 1.62%) and postoperative major adverse cardiovascular and cerebrovascular events (MACCEs; mortality, stroke, myocardial infarction, renal failure) (no-stent group, 12.2%; stent group, 5.9%) occurred more often in diabetic patients without coronary stents. Logistic regression for 30-day mortality using possible confounders including preoperative stent showed a significant positive effect of preoperative coronary stenting (OR, 0.157; 95% CI limits, 0.033-0.737). Taking percutaneous coronary intervention out of the calculation model, this positive effect was no longer significant (OR, 0.344; CI, 0.091-1.298). Logistic regression for perioperative MACCE, with as well as without percutaneous coronary intervention as a confounder, also showed a significant positive effect of preoperative coronary stenting (OR, 0.231; 95% CI, 0.091-0.590).

Conclusions: Coronary stenting before CAGB in diabetic patients does not predispose to a higher perioperative risk regarding mortality and morbidity after CABG surgery. (J Thorac Cardiovasc Surg 2011;142:e53-7)

Harvard Citation style: Boening, A., Niemann, B., Wiedemann, A., Roth, P., Boedeker, R., Scheibelhut, C., et al. (2011) Coronary stenting before coronary artery bypass graft surgery in diabetic patients does not increase the perioperative risk of surgery, The Journal of Thoracic and Cardiovascular Surgery, 142(2), pp. E53-E57. https://doi.org/10.1016/j.jtcvs.2011.04.018

APA Citation style: Boening, A., Niemann, B., Wiedemann, A., Roth, P., Boedeker, R., Scheibelhut, C., & Schoenburg, M. (2011). Coronary stenting before coronary artery bypass graft surgery in diabetic patients does not increase the perioperative risk of surgery. The Journal of Thoracic and Cardiovascular Surgery. 142(2), E53-E57. https://doi.org/10.1016/j.jtcvs.2011.04.018