Dataset Information

Impact of periprocedural major adverse events on 10-year mortality after revascularisation.

ABSTRACT:

Background

The long-term prognostic impact of a composite of periprocedural major adverse events (PMAE) following revascularisation for patients with complex coronary artery disease (CAD) has not yet been established.

Aims

This study aimed to assess the impact on 10-year mortality of non-fatal PMAE following percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG). Other objectives were to evaluate 1) whether PMAE affect mortality predicted by the SYNTAX score II 2020 (SSII-2020) and 2) whether optimal medical therapy (OMT) positively affects the prognosis of patients with non-fatal PMAE.

Methods

The association between 10-year mortality and non-fatal PMAE occurring within 30 days of PCI or CABG in patients with three-vessel disease and/or left main disease enrolled in the SYNTAXES study was investigated.

Results

The main findings are that non-fatal PMAE occurred less frequently following PCI than CABG (11.2% vs 28.2%; p<0.001) and that non-fatal PMAE were an independent predictor of all-cause mortality in the first year post-procedure, but not at 5 or 10 years, in both treatment modalities. PMAE substantially alter the individual predictions of 10-year mortality by the SSII-2020. In patients with non-fatal PMAE, OMT may provide survival benefits during the first year post-procedure as well as in the long term.

Conclusions

In patients with complex CAD, non-fatal PMAE were more common following CABG than PCI, but their prognostic impact was similar, being significant in the first year and then diminishing out to 10 years. Patients with non-fatal PMAE may therefore require more careful follow-up and additional preventive treatment in the first year post-procedure.

SUBMITTER: Kotoku N

PROVIDER: S-EPMC10018290 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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Publications

Impact of periprocedural major adverse events on 10-year mortality after revascularisation.

Kotoku Nozomi N Serruys Patrick W PW Ninomiya Kai K Soo Alan A Masuda Shinichiro S Kageyama Shigetaka S Revaiah Pruthvi C PC Mack Michael J MJ Holmes David R DR Morice Marie-Claude MC Davierwala Piroze M PM Mohr Friedrich W FW Milojevic Milan M Kappetein Arie Pieter AP Garg Scot S Onuma Yoshinobu Y

EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology 20230301 15

<h4>Background</h4>The long-term prognostic impact of a composite of periprocedural major adverse events (PMAE) following revascularisation for patients with complex coronary artery disease (CAD) has not yet been established.<h4>Aims</h4>This study aimed to assess the impact on 10-year mortality of non-fatal PMAE following percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG). Other objectives were to evaluate 1) whether PMAE affect mortality predicted by the SYNTAX ...[more]

PMID: 36632743

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Dataset Information

Impact of periprocedural major adverse events on 10-year mortality after revascularisation.

Background

Aims

Methods

Results

Conclusions

Publications

Impact of periprocedural major adverse events on 10-year mortality after revascularisation.

Similar Datasets

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