Ten-Year Experience of Coronary Endarterectomy for the Diffusely Diseased Left Anterior Descending Artery

Abstract

CE for a diffusely diseased LAD using the ITA provides satisfactory clinical outcomes with favorable rates of angiographic patency.

Evaluation of different surgical modalities for coronary reconstruction of diffusely diseased left anterior descending artery

“…In Nishigawa et al [20] study conventional angiography was done at a median of 7 days (range 0-85 days) and showed a patency rate of 91.6 percent. Takanashi et al [21] showed early patency of 94 percent.…”

“…Nishigawa et al [20] reported mortality of 1.1 percent, Schmitto et al [16] 5 percent, Takanashi et al [21] 2.7 percent, Byrne et al [17] 3 percent, Nishi et al [19] 2.9 percent. In comparing LIMA to saphenous group mortality was 4.5 percent in the LIMA group and none in the saphenous group and was not statistically significant.…”

Coronary endarterectomy and shunt plasty in coronary artery bypass surgery: is there any difference in short-term results?

“…[11,12] в 1965 г. Данный метод также длительно не использовался в коронарной хирургии ввиду высокой операционной летальности и был возобновлен только 20 лет спустя J. Hitcock и соавт. [13]. В последнее десятилетие в связи с увеличением среднего возраста больных, эффективным медикаментозным лечением ИБС и частым выполнением ЧКВ увеличилось количество пациентов с протяженным и диффузно-дистальным поражением коронарных артерий [14].…”

Surgery of Moderate Coronary Artery Stenosis

“…All this could explain the better results of ITA grafts and reassure surgeons about ITA as preferred conduits also in revascularizing symptomatic MCAS [1]. Besides, in multisegmental lesions, typically of the left anterior descending coronary artery, an associated endarterectomy downstream to a MCAS increases the graft run-off, through new-open septal perforator collaterals [4].…”