Coronary endarterectomy in myocardial revascularization
Aim. To compare the immediate outcomes of combined coronary artery bypass grafting (CABG) with coronary endarterectomy (CE) and isolated CABG.Material and methods. This retrospective study included 192 patients with stable angina who underwent myocardial revascularization in the period from January...
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«FIRMA «SILICEA» LLC
2021-09-01
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| Series: | Российский кардиологический журнал |
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| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/4310 |
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| author | Ya. Yu. Visker D. N. Kovalchuk A. N. Molchanov O. R. Ibragimov |
| author_facet | Ya. Yu. Visker D. N. Kovalchuk A. N. Molchanov O. R. Ibragimov |
| author_sort | Ya. Yu. Visker |
| collection | DOAJ |
| description | Aim. To compare the immediate outcomes of combined coronary artery bypass grafting (CABG) with coronary endarterectomy (CE) and isolated CABG.Material and methods. This retrospective study included 192 patients with stable angina who underwent myocardial revascularization in the period from January 2016 to August 2018. The patients were divided into 2 groups. Group 1 included patients who underwent combined CABG and CE, while group 2 — patients who underwent isolated CABG. Patients in both groups did not differ in the main preoperative characteristics, with the exception of the incidence of obesity and right coronary artery disease.Results. In-hospital mortality in group 1 was 2,2% (n=2), in group 2 — 2% (n=2). The incidence of perioperative myocardial infarction in group 1 was 1% (n=1) and in group 2 — 0%. There were no significant differences between groups in the following postoperative parameters: in-hospital mortality, perioperative myocardial infarction, need and duration of inotropic support, duration of mechanical ventilation (MV) and need for long-term mechanical ventilation, stroke, arrhythmias, resternotomy for bleeding. In group 1, encephalopathy (11,8%) and respiratory failure (12,9%) were significantly more common.Conclusion. Combined CABG and CE is a safe technique for achieving complete myocardial revascularization in diffuse coronary artery disease, since, in comparison with isolated CABG, there is no increase in the incidence of death and perioperative myocardial infarction. However, in this category of patients, an increase in the incidence of non-lethal, non-disabling cerebral and pulmonary complications should be expected. |
| format | Article |
| id | doaj-art-e1789f53b2364cafa4b2829a34a2e099 |
| institution | Matheson Library |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| publishDate | 2021-09-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj-art-e1789f53b2364cafa4b2829a34a2e0992025-08-04T13:00:26Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202021-09-0126810.15829/1560-4071-2021-43103201Coronary endarterectomy in myocardial revascularizationYa. Yu. Visker0D. N. Kovalchuk1A. N. Molchanov2O. R. Ibragimov3Surgut State University; Diagnostics and Cardiovascular Surgery CenterDiagnostics and Cardiovascular Surgery CenterSurgut State University; Diagnostics and Cardiovascular Surgery CenterSurgut State University; Diagnostics and Cardiovascular Surgery CenterAim. To compare the immediate outcomes of combined coronary artery bypass grafting (CABG) with coronary endarterectomy (CE) and isolated CABG.Material and methods. This retrospective study included 192 patients with stable angina who underwent myocardial revascularization in the period from January 2016 to August 2018. The patients were divided into 2 groups. Group 1 included patients who underwent combined CABG and CE, while group 2 — patients who underwent isolated CABG. Patients in both groups did not differ in the main preoperative characteristics, with the exception of the incidence of obesity and right coronary artery disease.Results. In-hospital mortality in group 1 was 2,2% (n=2), in group 2 — 2% (n=2). The incidence of perioperative myocardial infarction in group 1 was 1% (n=1) and in group 2 — 0%. There were no significant differences between groups in the following postoperative parameters: in-hospital mortality, perioperative myocardial infarction, need and duration of inotropic support, duration of mechanical ventilation (MV) and need for long-term mechanical ventilation, stroke, arrhythmias, resternotomy for bleeding. In group 1, encephalopathy (11,8%) and respiratory failure (12,9%) were significantly more common.Conclusion. Combined CABG and CE is a safe technique for achieving complete myocardial revascularization in diffuse coronary artery disease, since, in comparison with isolated CABG, there is no increase in the incidence of death and perioperative myocardial infarction. However, in this category of patients, an increase in the incidence of non-lethal, non-disabling cerebral and pulmonary complications should be expected.https://russjcardiol.elpub.ru/jour/article/view/4310coronary artery bypass graftingendarterectomycoronary artery reconstructiondiffuse coronary atherosclerosis |
| spellingShingle | Ya. Yu. Visker D. N. Kovalchuk A. N. Molchanov O. R. Ibragimov Coronary endarterectomy in myocardial revascularization Российский кардиологический журнал coronary artery bypass grafting endarterectomy coronary artery reconstruction diffuse coronary atherosclerosis |
| title | Coronary endarterectomy in myocardial revascularization |
| title_full | Coronary endarterectomy in myocardial revascularization |
| title_fullStr | Coronary endarterectomy in myocardial revascularization |
| title_full_unstemmed | Coronary endarterectomy in myocardial revascularization |
| title_short | Coronary endarterectomy in myocardial revascularization |
| title_sort | coronary endarterectomy in myocardial revascularization |
| topic | coronary artery bypass grafting endarterectomy coronary artery reconstruction diffuse coronary atherosclerosis |
| url | https://russjcardiol.elpub.ru/jour/article/view/4310 |
| work_keys_str_mv | AT yayuvisker coronaryendarterectomyinmyocardialrevascularization AT dnkovalchuk coronaryendarterectomyinmyocardialrevascularization AT anmolchanov coronaryendarterectomyinmyocardialrevascularization AT oribragimov coronaryendarterectomyinmyocardialrevascularization |