Survival After Coronary Endarterectomy in Man

Bailey, Charles P.

doi:10.1001/jama.1957.02980060017005

Cited by 276 publications

(100 citation statements)

References 2 publications

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“…In 1957, Baily et al [3] first introduced the CE technique. However, even after half a century, the current opinions about the safety and effectiveness of CE are varied, and the technique remains controversial.…”

Section: Discussionmentioning

confidence: 99%

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Early and mid-term results of coronary endarterectomy: Influence of cardiopulmonary bypass and surgical techniques

et al. 2017

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) on-pump coronary artery bypass with coronary endarterectomy (ONCAB-CE) versus off-pump coronary artery bypass with coronary endarterectomy (OPCAB-CE), and 2) "open" versus "closed" surgical techniques. Operative mortality and major morbidity, were investigated including perioperative myocardial infarction (PMI), and overall survival. Results: Operative mortality was 4.7% (3/64), and no PMI was observed in the study. No statistical differences in operative mortality rate between the ONCAB-CE and OPCAB-CE groups were found (3.1% vs. 6.2%, p = 1.0) or between open versus closed techniques (6.7% vs. 2.9%, p = 0.6). The incidence of major morbidity including cerebrovascular accident, atrial fibrillation, acute renal failure, mediastinitis, respiratory complications, and bleeding was comparable between all groups. There were seven late mortalities, and no differences were found in overall survival rate between all groups. Conclusions: Coronary endarterectomy appears to be a safe option for patients with diffuse coronary artery disease, regardless of whether CPB or a specified selection of surgical techniques are used. (Cardiol J 2017; 24, 3: 242-249)

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Section: Discussionmentioning

confidence: 99%

“…First described by Baily et al [3] in 1957, coronary endarterectomy (CE) is a method for treating patients with severe atherosclerotic CAD.…”

Section: Introductionmentioning

confidence: 99%

Early and mid-term results of coronary endarterectomy: Influence of cardiopulmonary bypass and surgical techniques

et al. 2017

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“…The era of direct operations on coronary arteries for the treatment of coronary heart disease 4 started in 1957 with the performance of direct endarterectomy by Bailey et al 1 .…”

Section: Discussionmentioning

confidence: 99%

Myocardial revascularization with coronary endarterectomy. Stratification of risk factors for early mortality

Atik¹,

Dallan²,

Oliveira³

et al. 2000

Arq. Bras. Cardiol.

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Objective -To determine the risk factors for mortality related to myocardial revascularization when performed in association with coronary endarterectomy. (<0.001; 9.283), female sex (0.01; 3.111), acute myocardial infarction (0.02; 3.546), ejection fraction <35% (<0.001; 5.89), and previous myocardial revascularization (<0.001; 4.295). Methods - Conclusion -Coronary endarterectomy is related to higher mortality, and the risk factors involved are important elements of a poor outcome.

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“…OPCAB is often regarded as a recent advancement, however, the history of coronary surgery reveals that many initial procedures were performed on the beating heart [2][3][4]. Kolessov [5] reported using the LIMA for coronary bypass without the pump in 1967.…”

Section: Discussionmentioning

confidence: 99%

Beating Heart versus Conventional Coronary Bypass Surgery: Our Experience

Kaushish

Unni

Luthra

2010

Medical Journal Armed Forces India

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Background: Off-pump Coronary Artery Bypass (OPCAB) has become the standard surgical treatment of Coronary Artery Disease in most centres in India. It is clear from the current evidence that, in certain patients, OPCAB olTers advantages over conventional Coronary Artery Bypass Grafting (CABG). Experience of this procedure in the Armed Forces is highligbted. Methods: Retrospective analysis of 200 nonrandomized consecutive patients taken up for OPCAB and 200 conventional CABG between Jan 2005 and Dec 2007 was done. The European system for cardiac operative risk evaluation (euroSCORE) was used in all patients. Perioperative morbidity and mortality was compared in the two groups. Result: OPCAB was possible in 192 (96 %) out of200 patients taken up for this procedure. Eigbt patients required cardiopulmonary bypass (CPB) to complete the revascularization. Incidence ofreoperation for bleeding was 2.5% in OPCAB and 6% in CABG In the CABG group 2 % patients developed severe bleeding complications, 3 % required ventilation for more than 24 hour, 1 % required renal replacement therapy, 1 % had acute respiratory distress syndrome and 3.5 % had neuro-psychiatric manifestations. Incidence of these complications in OPCAB patients was lower or NIL. Overall mortality in the OPCAB group was 1.5 % and 2 % in the CABG group. However only one patient out of 192 (0.5 %) who underwent successful OPCAB died, while two patients out of eigbt who required conversion to CPB in this group died. Incidence of stroke, deep sternal infection and mortality was similar in both groups. Conclusion: OPCAB is safe, effective and can be offered to more than 90 % patients as the primary strategy for surgical myocardial revascularization. It has lower overall morbidity than conventional CABG Its main limitations are hemodynamic instability and inability to lind a deeply embedded target vessel. Both these factors offect the outcome adversely making conventional CABG a better option in these situations. MJAFI 2010; 66 : 357-361

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Survival After Coronary Endarterectomy in Man

Cited by 276 publications

References 2 publications

Early and mid-term results of coronary endarterectomy: Influence of cardiopulmonary bypass and surgical techniques

Early and mid-term results of coronary endarterectomy: Influence of cardiopulmonary bypass and surgical techniques

Myocardial revascularization with coronary endarterectomy. Stratification of risk factors for early mortality

Beating Heart versus Conventional Coronary Bypass Surgery: Our Experience

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