Isolated bypass grafting of the left internal thoracic artery to the left anterior descending coronary artery

Scott, Rosalyn P.; Blackstone, Eugene H.; McCarthy, Patrick M.; Lytle, Bruce W.; Loop, Floyd D.; White, Jennifer A.; Cosgrove, Delos M.

doi:10.1067/mtc.2000.107280

Cited by 100 publications

(61 citation statements)

References 27 publications

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“…Although incomplete revascularization has not been reported to increase early risk, it may cause recurrent angina, decrease late survival and require reintervention in the long term. [10][11][12][13] Furthermore, one of the important drawbacks of this technique is the hemodynamic deterioration that can occur during manipulation of the heart, which entails urgent conversion to conventional CPB. Conversion from off-pump to †Conventional CABG.…”

Section: Discussionmentioning

confidence: 99%

On-pump beating-heart versus conventional coronary artery bypass grafting for revascularization in patients with severe left ventricular dysfunction: early outcomes

Erkut

Dağ

Kayğın

et al. 2013

CJS

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Section: Discussionmentioning

confidence: 99%

On-pump beating-heart versus conventional coronary artery bypass grafting for revascularization in patients with severe left ventricular dysfunction: early outcomes

Erkut

Dağ

Kayğın

et al. 2013

CJS

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“…В ряде исследований НКР в качестве независи-мого фактора рассматривается снижение средне-срочной и отдалённой выживаемости больных ИБС с множественным поражением КА [5,8]. V. Macanu et al [5] также указывают на роль НКР как независимого фактора риска увеличения частоты БКС.…”

Section: таблица 2 данные коронарографии больных первой (N = 949) и вunclassified

Incomplete Coronary Revascularization as an Independent Risk Factor of Off-Pump Coronary Artery Bypass Grafting Prognosis in Patients With Ischemic Heart Disease

Подкаменный¹,

Podkamenniy²,

Лиханди³

et al. 2017

Бюллетень Восточно-Сибирского Научного Центра Сибирского Отделения Российской Академии Медицинских Наук

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INCOMPLETE CORONARY REVASCULARIZATION AS AN INDEPENDENT RISK FACTOR OF OFF-PUMP CORONARY ARTERY BYPASS GRAFTING PROGNOSIS IN PATIENTS WITH ISCHEMIC HEART DISEASE 98.5 %, 75.4 % and 75.4 % respectively, 88.7 % and 81.3 % (p = 0.006). In ICR group "free" from MACE after 1, 5 and 10 years after surgery were respectively 98.2 %, 70.8 % and 61.0 % of patients, while in CCR group those made 98.3 %, 84.6 % and 72,6 % (p = 0,007). We can conclude that incomplete revascularization can be defined as a prediction factor of worst long-term outcome results of CABG. Key words: coronary artery bypass surgery, remote outcomeы, incomplete coronary revascularization ВВЕДЕНИЕНеполная коронарная реваскуляризация (НКР) является общей проблемой хирургического лечения больных ишемической болезнью сердца (ИБС) при вы-полнении как чрескожных эндоваскулярных коронар-ных вмешательств (ЧЭКВ), так и операций коронарного шунтирования (КШ), независимо от использования ис-кусственного кровообращения (ИК) либо выполнения операции на работающем сердце. По данным исследо-вания SYNTAX, доля НКР при операциях КШ составляет 36,8 %, а при ЧЭКВ -43,3 % [3]. Под термином «неполная коронарная реваскуляризация» большинство авторов понимают отказ от шунтирования ветвей хотя бы од-ного из трёх основных достоверно поражённых коро-нарных бассейнов [4]. Не существует единого мнения о влиянии НКР на отдалённые результаты операций КШ. В некоторых исследованиях НКР рассматривается как независимый фактор ухудшения отдалённых резуль-татов хирургического лечения больных ИБС. В других исследованиях влияние НКР на отдалённые результаты операций не подтверждается. ЦЕЛЬ ИССЛЕДОВАНИЯОценить влияние неполной коронарной реваску-ляризации на отдалённые результаты операции КШ на работающем сердце.

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“…19,20 Bizim reoperasyon uyguladığımız hastalarda inkomplet revaskülarizasyon oranı %29,5 idi. Fakat bu oran mortaliteye göre değer-lendirildiğinde inkomplet revaskülarizasyon oranının %76,9'a yükseldiği görüldü ve reoperasyonlarda inkomplet miyokardiyal revaskülarizasyonun, mortaliteyi istatistiksel olarak anlamlı oranda yükselttiği saptandı (p<0,01).…”

Section: Riskunclassified

Evaluation of the Risk Factors Affecting Hospital Mortality in Coronary Artery Bypass Reoperations

Çakalağaoğlu¹,

Kara²,

Salehi³

et al. 2013

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Çalışmamızda, reoperatif koroner baypas cerrahisinde hastane mortalitesini etkileyen risk faktörlerini araştırmayı amaçladık. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Kliniğimizde, 1998'den 2010'a kadar izole reoperatif koroner baypas geçiren 105 hasta (ortalama yaş 58,6±8,8 yıl, yaş aralığı 19-79), retrospektif kohort bir çalışma dizaynı ile incelendi. Reoperatif koroner baypas ile birlikte eş zamanlı prosedür uygulanan hastalar çalışma dışı bırakıldı. Ameliyat öncesi, ameliyata ait ve ameliyat sonrası değişkenler kullanılarak hastane mortalitesine neden olan risk faktörleri araştırıldı. Hastane mortalitesinin bağımsız risk faktörleri lojistik regresyon analizi ile belirlendi. B Bu ul lg gu ul la ar r: : Hastane mortalitesi %12,3 (13 hasta) olarak bulundu. Hastalarımızın %37,1 'i 1998-2004 arasında ve %62,9'u 2005-2010 arasında reopere edildi. İki ameliyat arasında geçen süre 1 yıl ile 20 yıl arasında değişmekte olup, ortalaması 7,80±5,38 yıl idi. Tek değişkenli analizde mortalitenin risk faktörleri; ilk ameliyatta internal mamarian arterin kullanılmaması, inkomplet revaskülarizasyon, Kanada Kardiyovasküler Derneği sınıf 3 yada 4 ağrı, ileri sol ventrikül disfonksiyonu, düşük kalp debisi, iki ameliyat arasındaki sürenin10 yıl ve üzeri olması, kanama veya greft tıkanıklığı nedeniyle revizyon ve uzamış entübasyon olarak saptandı. Lojistik regresyon analiz ile mortalitenin bağımsız risk faktörleri; düşük kalp debisi, iki ameliyat arasındaki sürenin 10 yıl ve üzeri olması ve uzamış entübasyon olarak bulundu. S So on nu uç ç: : Risk profilinin belirlenmesi ve hasta seçimi, hastane mortalitesinin düşürülmesi için ilk adım olabilir. Yüksek risk profilindeki olgularda, off-pump teknik ile revaskülarizasyon, hibrid revaskülarizasyon veya optimal medikal tedavi gibi farklı tedavi alternatiflerinin de değerlendirilmesi düşünülebilir.A An na ah ht ta ar r K Ke el li im me el le er r: : Reoperasyon; kalp debisi, düşük; koroner arter baypas; hastanede ölüm oranı A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : In our study, we aimed to investigate the risk factors for hospital mortality in reoperative coronary bypass surgery. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : In our clinic, 105 (mean age 58.6±8.8 years, age range 19-79) patients who underwent isolated reoperative coronary artery bypass grafting between 1998 and 2010 were examined using a retrospective cohort study design. Patients who had concomitant procedures were excluded from the study. The risk factors that caused hospital mortality were investigated by using the preoperative, operative and postoperative variables. Independent risk factors for hospital mortality were determined by logistic regression analysis. R Re es su ul lt ts s: : Hospital mortality was found as 12.3% (13 patients). Thirty-seven percent of patients were operated on between 1998 and 2004, and 62.9% between 2005 and 2010. The average time between two operations was 7.80 ± 5.38 years, ranged between 1 and 20 years. Univariate ...

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Isolated bypass grafting of the left internal thoracic artery to the left anterior descending coronary artery

Abstract: These findings call into question the long-term appropriateness of interventions whose strategy includes leaving unrevascularized segments in territories not in the distribution of the left anterior descending coronary artery.

Cited by 100 publications

References 27 publications

On-pump beating-heart versus conventional coronary artery bypass grafting for revascularization in patients with severe left ventricular dysfunction: early outcomes

On-pump beating-heart versus conventional coronary artery bypass grafting for revascularization in patients with severe left ventricular dysfunction: early outcomes

Incomplete Coronary Revascularization as an Independent Risk Factor of Off-Pump Coronary Artery Bypass Grafting Prognosis in Patients With Ischemic Heart Disease

Evaluation of the Risk Factors Affecting Hospital Mortality in Coronary Artery Bypass Reoperations

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