Authors
Tim Kinnaird, Richard Anderson, Nicholas Ossei-Gerning, James Cockburn, Alex Sirker, Peter Ludman, Mark deBelder, Tom Johnson, Andreas Baumbach, Samuel Copt, Azfar Zaman, Mamas A Mamas
Publication date
2017/12/1
Source
Heart
Volume
103
Issue
Suppl 7
Pages
A9-A9
Publisher
BMJ Publishing Group Ltd and British Cardiovascular Society
Description
Background
The evidence base for coronary perforation (CP) occurring during PCI in patients with a history of bypass surgery (PCI-CABG) is limited and the long-term effects unclear.
Methods
Data analysed from the BCIS dataset on all PCI-CABG procedures performed between 2005 and 2013. Multivariate logistic regressions and propensity scores were used to identify predictors of CP and its association with outcomes.
Results
During the study period, 309 coronary perforations were recorded during 59,644 PCI-CABG procedures with the incidence rising from 0.32% in 2005 to 0.68% in 2013 (p<0.001 for trend). Independent associates of perforation were age (odds ratio (OR) 95% confidence intervals 1.03 [1.02–1.05], p<0.001), female gender (OR 1.74 [1.21–2.49], p=0.002), hypertension (OR 1.83 [1.25–2.69], p<0.001), chronic occlusive disease (OR1.89 [1.23–2.64], p<0.001) and rotational atherectomy use (OR …