Powney JG, Bonser RS, Lentini S. Emergency coronary artery surgery after refractory cardiac arrest: a single centre experience.
BRITISH HEART JOURNAL 1992;
67:392-4. [PMID:
1389719 PMCID:
PMC1024861 DOI:
10.1136/hrt.67.5.392]
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Abstract
OBJECTIVE
To determine the incidence and outcome of refractory cardiac arrest necessitating emergency coronary artery bypass grafting.
DESIGN
Retrospective survey of cardiac catheterisation and surgical records.
SETTING
The London Chest Hospital.
PATIENTS
All patients requiring emergency coronary artery bypass grafting after cardiovascular collapse in the catheterisation suite between January 1984 and December 1989.
MAIN OUTCOME MEASURES
Incidence of refractory cardiac arrest in the study group and perioperative mortality.
RESULTS
Thirteen of 8675 patients undergoing coronary arteriography or angioplasty had refractory cardiac arrests. Five patients died, but the remainder survived to be discharged from hospital without serious morbidity.
CONCLUSION
Without immediate surgical intervention the mortality for these 13 patients would have been 100%.
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