Author + information
- Eddie Brown,
- Claudine Dumandan,
- Mobasser Mahmood and
- James Blankenship
Background: Prior coronary artery bypass graft (CABG) surgery increases the difficulty of diagnostic coronary angiography (CA). This study sought to evaluate how availability of surgical anatomy and level of training affects CA at a tertiary teaching institution.
Methods: All patients with prior CABG undergoing CA at Geisinger Medical Center (1/1/2014-9/30/2015) were reviewed. Patients who underwent concomitant right heart catheterization or percutaneous coronary intervention were excluded. Knowledge of graft anatomy was determined by the availability of the operative report, pre-catheterization history or previous post-CABG catheterization report.
Discussion: In a modern cohort of CABG patients undergoing diagnostic CA at a high volume teaching institution, unavailability of details about surgical anatomy was associated with increased contrast exposure and fluoroscopy time. In addition, earlier stages of training were associated with increased procedural and fluoroscopy times.
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Interventional Cardiology: Angiography, Intravascular Imaging and Interventional CT/MR
Abstract Category: 16. Interventional Cardiology: Angiography and Interventional CT/MR
Presentation Number: 1153-130
- 2017 American College of Cardiology Foundation