Feasibility and Durability of the Modified Cabrol Coronary Artery Reattachment Technique

Tanaka, Akiko; Al-Rstum, Zain; Zhou, Nicolas; Hassan, Madiha; Sandhu, Harleen K.; Miller, Charles C.; Safi, Hazim J.; Estrera, Anthony L.

doi:10.1016/j.athoracsur.2020.04.125

Cited by 6 publications

(13 citation statements)

References 9 publications

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“…and the article by Lamana et al [26] was not included in this analysis because the studies did not describe the procedure. The proportion of reoperations was 34 Reoperation for bleeding 7 studies were included and the combined bleeding reoperation was 4.9% (17 patients) [9,12,14,22,[24][25]27].…”

Section: Resultsmentioning

confidence: 99%

“…Since its inception, the Cabrol procedure has been employed and re ned by numerous surgeons who have documented outcomes in both the early and late stages [14,25,[27][28][29][30][31]. While certain studies have reported complications related to coronary graft thrombosis or embolism [5][6][7][8][9][10][11], the procedure has withstood the test of time and practice, establishing itself as a valuable tool for surgeons when confronted with speci c clinical scenarios [12,25].…”

Section: Discussionmentioning

confidence: 99%

“…Thromboembolism 8 studies were included, with a random effects model combined Thromboembolism of 0.66% (per patient-years), a 95% con dence interval of (0.16-2.74) and a heterogeneity I 2 of 76.2% [7,9,14,[22][23][24][25]27]. (Fig.…”

Section: Root Reoperationsmentioning

confidence: 99%

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Cabrol Procedure and Its Modifications： A Systematic Review and Meta-Analysis

Yang,

Zhang,

et al. 2023

Preprint

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Background Cabrol procedure has undergone various modifications and advancements since it was invented. However, there is a notable gap in the literature regarding meta-analyses assessing the Cabrol procedure. Methods A systematic review and meta-analysis were conducted to evaluate the effectiveness and long-term outcomes of the Cabrol procedure and its modifications. Pooling was conducted using random-effects model. Outcome events were reported as linearized occurrence rates (percentage per patient year) with 95% confidence intervals. Results A total of 14 studies involving 833 patients (mean age: 50 years; 71% male) were included in the meta-analysis. The pooled early mortality rate was 9.0% (66 patients), and the combined rate of reoperation due to bleeding was 4.9% (17 patients). During the average 4.4-year follow-up (3,727 patient-years), the annual occurrence rates (linearized) for complications were as follows: 3.63% (2.79–4.73) for late mortality, 0.64% (0.35–1.18) for aortic root reoperation, 0.57% (0.25–1.31) for hemorrhage events, 0.66% (0.16–2.74) for thromboembolism, 0.60% (0.29–1.26) for endocarditis, 2.32% (1.04–5.16) for major valve-related adverse events, and 0.58% (0.34–0.98) for Cabrol-related coronary graft complications. Conclusion This systematic review provides evidence that the outcomes of the Cabrol procedure and its modifications are acceptable in terms of mortality, reoperation, anticoagulation, valve-related complications, especially in Cabrol-related coronary graft complications. Notably, the majority of Cabrol procedures were performed in reoperation and complex cases. Furthermore, the design and anastomosis of the dacron interposition graft for coronary reimplantation, considering natural anatomy and physiological hemodynamics, may represent a promising avenue for future advancements in this field.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Cabrol Procedure and Its Modifications： A Systematic Review and Meta-Analysis

Yang,

Zhang,

et al. 2023

Preprint

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“…For example, superficial femoral artery transplantation also is a good choice for graft selection [Guenther 2020]. By lengthening the length of the artificial vessel, a larger curve was added to prevent the distortion of the artificial vessel, and a good effect was achieved [Tanaka 2020]. Cabrol has a smaller indication for aortic root surgery, but it is a better choice for surgeons, when appropriate.…”

Section: Discussionmentioning

confidence: 99%

A Giant Ascending Aortic Aneurysm Compressed the Left Main Bronchus and Esophagus: A Case Report

Yang

Zhang

Liu

et al. 2022

HSF

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“…Kourliouros et al [ 19 ] introduced the “T-fashion” modification. Meanwhile, the Cabrol procedure and its modifications have been tested and confirmed to be safe and effective [ 17 , 20 – 23 ]. It’s currently indicated when traditional button implantation is difficult, such as fragile or torn coronary ostia.…”

Section: Introductionmentioning

confidence: 99%

Cabrol procedure and its modifications: a systematic review and meta-analysis

Yang,

Zhang,

et al. 2024

J Cardiothorac Surg

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Background The Cabrol procedure has undergone various modifications and developments since its invention. However, there is a notable gap in the literature regarding meta-analyses assessing it. Methods A systematic review and meta-analysis was conducted to evaluate the effectiveness and long-term outcomes of the Cabrol procedure and its modifications. Pooling was conducted using random effects model. Outcome events were reported as linearized occurrence rates (percentage per patient-year) with 95% confidence intervals. Results A total of 14 studies involving 833 patients (mean age: 50.8 years; 68.0% male) were included in this meta-analysis. The pooled all-cause early mortality was 9.0% (66 patients), and the combined rate of reoperation due to bleeding was 4.9% (17 patients). During the average 4.4-year follow-up (3,727.3 patient-years), the annual occurrence rates (linearized) for complications were as follows: 3.63% (2.79–4.73) for late mortality, 0.64% (0.35–1.16) for aortic root reoperation, 0.57% (0.25–1.31) for hemorrhage events, 0.66% (0.16–2.74) for thromboembolism, 0.60% (0.29–1.26) for endocarditis, 2.32% (1.04–5.16) for major valve-related adverse events, and 0.58% (0.34–1.00) for Cabrol-related coronary graft complications. Conclusion This systematic review provides evidence that the outcomes of the Cabrol procedure and its modifications are acceptable in terms of mortality, reoperation, anticoagulation, and valve-related complications, especially in Cabrol-related coronary graft complications. Notably, the majority of Cabrol procedures were performed in reoperations and complex cases. Furthermore, the design and anastomosis of the Dacron interposition graft for coronary reimplantation, considering natural anatomy and physiological hemodynamics, may promise future advancements in this field.

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Feasibility and Durability of the Modified Cabrol Coronary Artery Reattachment Technique

Cited by 6 publications

References 9 publications

Cabrol Procedure and Its Modifications： A Systematic Review and Meta-Analysis

Cabrol Procedure and Its Modifications： A Systematic Review and Meta-Analysis

A Giant Ascending Aortic Aneurysm Compressed the Left Main Bronchus and Esophagus: A Case Report

Cabrol procedure and its modifications: a systematic review and meta-analysis

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