{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T11:30:09Z","timestamp":1747654209498,"version":"3.37.3"},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:00:00Z","timestamp":1733961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Post\u2010operative myocardial infarction is a possible complication following cardiac surgery. Data on the incidence, predictors and prognosis of urgent coronary angiography (UCA) after cardiac surgery are scarce.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims (Objectives)<\/jats:title><jats:p>This study aims to report in hospital and 1\u2010year follow\u2010up outcomes of a recent large cohort of patients undergoing UCA after cardiac surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study provides a retrospective analysis of an high volume cardiac center (Maria Cecilia Hospital, Italy), from 2016 to 2021 regarding patients treated with coronary artery bypass grafting (CABG), valve, or aortic root surgery, focusing on those who required UCA within the same hospitalization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 6505 cardiac surgeries, 119 patients (1.83%) underwent UCA, with a median age of 69 years. The study found that UCA was more frequent post\u2010CABG (2.62%) than non\u2010CABG interventions (1.35%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). A graft failure was detected in 31.1% of the cases, while a native vessel complication in 36.1%. The leading reasons for UCA included ST\/T abnormalities, ventricular arrhythmias, and hemodynamic instability, with 92% of UCAs performed within a week post\u2010surgery. The in\u2010hospital mortality rate was 32%, with no significant difference between CABG and non\u2010CABG patients. Predictive factors for in\u2010hospital mortality included Euroscore II, hemodynamic instability and late UCA. One\u2010year follow\u2010up showed a low mortality rate (2.5%) among discharged patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>UCA resulted to have a pivotal role in detecting coronary complications after cardiac surgery, guiding subsequent treatment decisions. Despite the high in\u2010hospital mortality rate, survival showed an overall low mortality at the 1\u2010year mark.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.31337","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T10:35:42Z","timestamp":1733999742000},"page":"525-531","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Urgent Coronary Angiography Following Cardiac Surgery: Insights from a High\u2010Volume Cardiac Surgery Center"],"prefix":"10.1002","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4055-5062","authenticated-orcid":false,"given":"M.","family":"Toselli","sequence":"first","affiliation":[{"name":"Cardiovascular Department Maria Cecilia Hospital, GVM Care &amp; Research Cotignola RA Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Cimaglia","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Maria Cecilia Hospital, GVM Care &amp; Research Cotignola RA Italy"},{"name":"Cardiology Unit Azienda Ospedaliero Universitaria di Ferrara 44124 Cona FE Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7325-4229","authenticated-orcid":false,"given":"A.","family":"Cereda","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Maria Cecilia Hospital, GVM Care &amp; Research Cotignola RA Italy"},{"name":"Cardiology Unit Ospedale San Carlo Borromeo, ASST Santi Paolo e Carlo Via Pio II Milano MI Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Fabbri","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Maria Cecilia Hospital, GVM Care &amp; Research Cotignola RA Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Latta","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Maria Cecilia Hospital, GVM Care &amp; Research Cotignola RA Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2227-0525","authenticated-orcid":false,"given":"D.","family":"Giovannini","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Maria Cecilia Hospital, GVM Care &amp; Research Cotignola RA Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3909-182X","authenticated-orcid":false,"given":"M.","family":"Galli","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Maria Cecilia Hospital, GVM Care &amp; Research Cotignola RA Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Calvi","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Maria Cecilia Hospital, GVM Care &amp; Research Cotignola RA Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9065-3261","authenticated-orcid":false,"given":"R.","family":"Nerla","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Maria Cecilia Hospital, GVM Care &amp; Research Cotignola RA Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Castriota","sequence":"additional","affiliation":[{"name":"Cardiovascular Department Maria Cecilia Hospital, GVM Care &amp; 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