Unplanned Postoperative Angiography After Isolated Coronary Artery Bypass Grafting: State of the Art and Future Perspective
Unplanned postoperative coronary angiography (uCAG) following isolated coronary artery bypass grafting (CABG) represents a significant clinical challenge, reflecting postoperative myocardial ischemia (PMI) with substantial impact on outcomes. The incidence of uCAG varies from 0.39 to 5.3%, depending...
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MDPI AG
2025-07-01
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| Series: | Medicina |
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| author | Konrad Wisniewski Giovanni Concistrè Angelo Maria Dell’Aquila |
| author_facet | Konrad Wisniewski Giovanni Concistrè Angelo Maria Dell’Aquila |
| author_sort | Konrad Wisniewski |
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| description | Unplanned postoperative coronary angiography (uCAG) following isolated coronary artery bypass grafting (CABG) represents a significant clinical challenge, reflecting postoperative myocardial ischemia (PMI) with substantial impact on outcomes. The incidence of uCAG varies from 0.39 to 5.3%, depending on institutional protocols and diagnostic thresholds. Elevated cardiac biomarkers (high-sensitivity troponin and CK-MB), ECG changes, and hemodynamic instability are key indicators guiding uCAG. While associated with increased short-term mortality and morbidity, timely identification and treatment of graft-related complications via uCAG can improve midterm survival. Percutaneous coronary intervention (PCI) often emerges as the preferred therapeutic strategy over redo CABG. Future efforts should focus on refining risk stratification models, expanding the role of non-invasive imaging modalities, and validating early intervention strategies through prospective studies. Establishing standardized criteria for diagnosing and managing PMI remains critical to enhance outcomes and healthcare efficiency. |
| format | Article |
| id | doaj-art-1f970b2d710e46d0bb8b8dae2cf0ac6a |
| institution | Matheson Library |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | MDPI AG |
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| series | Medicina |
| spelling | doaj-art-1f970b2d710e46d0bb8b8dae2cf0ac6a2025-07-25T13:29:30ZengMDPI AGMedicina1010-660X1648-91442025-07-01617124110.3390/medicina61071241Unplanned Postoperative Angiography After Isolated Coronary Artery Bypass Grafting: State of the Art and Future PerspectiveKonrad Wisniewski0Giovanni Concistrè1Angelo Maria Dell’Aquila2Department of Cardiothoracic Surgery, University Hospital Muenster, 48149 Muenster, GermanyDepartment of Adult Cardiac Surgery, Gaetano Pasquinucci Heart Hospital, Fondazione CNR-G. Monasterio, 54100 Massa, ItalyDepartment of Cardiothoracic Surgery, University Hospital Muenster, 48149 Muenster, GermanyUnplanned postoperative coronary angiography (uCAG) following isolated coronary artery bypass grafting (CABG) represents a significant clinical challenge, reflecting postoperative myocardial ischemia (PMI) with substantial impact on outcomes. The incidence of uCAG varies from 0.39 to 5.3%, depending on institutional protocols and diagnostic thresholds. Elevated cardiac biomarkers (high-sensitivity troponin and CK-MB), ECG changes, and hemodynamic instability are key indicators guiding uCAG. While associated with increased short-term mortality and morbidity, timely identification and treatment of graft-related complications via uCAG can improve midterm survival. Percutaneous coronary intervention (PCI) often emerges as the preferred therapeutic strategy over redo CABG. Future efforts should focus on refining risk stratification models, expanding the role of non-invasive imaging modalities, and validating early intervention strategies through prospective studies. Establishing standardized criteria for diagnosing and managing PMI remains critical to enhance outcomes and healthcare efficiency.https://www.mdpi.com/1648-9144/61/7/1241postoperative myocardial ischemiacoronary artery bypass graftingunplanned postoperative angiography |
| spellingShingle | Konrad Wisniewski Giovanni Concistrè Angelo Maria Dell’Aquila Unplanned Postoperative Angiography After Isolated Coronary Artery Bypass Grafting: State of the Art and Future Perspective Medicina postoperative myocardial ischemia coronary artery bypass grafting unplanned postoperative angiography |
| title | Unplanned Postoperative Angiography After Isolated Coronary Artery Bypass Grafting: State of the Art and Future Perspective |
| title_full | Unplanned Postoperative Angiography After Isolated Coronary Artery Bypass Grafting: State of the Art and Future Perspective |
| title_fullStr | Unplanned Postoperative Angiography After Isolated Coronary Artery Bypass Grafting: State of the Art and Future Perspective |
| title_full_unstemmed | Unplanned Postoperative Angiography After Isolated Coronary Artery Bypass Grafting: State of the Art and Future Perspective |
| title_short | Unplanned Postoperative Angiography After Isolated Coronary Artery Bypass Grafting: State of the Art and Future Perspective |
| title_sort | unplanned postoperative angiography after isolated coronary artery bypass grafting state of the art and future perspective |
| topic | postoperative myocardial ischemia coronary artery bypass grafting unplanned postoperative angiography |
| url | https://www.mdpi.com/1648-9144/61/7/1241 |
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