Intraoperative bypass angiography: an optimal solution in determination of coronary bypass graft patience and improvement of long-term results of surgical myocardial revascularization

Author(s):  
L.A. Bockeria ◽  
M.G. Pursanov ◽  
K.V. Petrosyan ◽  
A.V. Sobolev ◽  
P.V. Vartanov ◽  
...  
2020 ◽  
Vol 28 (6) ◽  
pp. 316-321
Author(s):  
Vladlen Bazylev ◽  
Evgeny Rosseikin ◽  
Dmitriy Tungusov ◽  
Artur Mikulyak

Background The method of coronary-coronary bypass grafting was described in 1987 but has not been widely used, and there are only a few studies that report good short-term and mid-term results as well as some individual cases of long-term follow-up. In our medical institution, we carried out an analysis of the long-term results of coronary-coronary bypass grafting, which are presented in this study. Methods This was a retrospective single-center study on 95 patients who underwent coronary-coronary bypass grafting as a supplement to the standard coronary bypass grafting procedure. All patients underwent angiographic assessment of the coronary bypass grafts during the long-term follow-up period. The observation period was up to 123 months. Angiographic assessment of 109 coronary-coronary grafts was carried out. Results Twelve (7.6%) arterial and 11 (19.3%) venous conduits were found to be occluded, and 8 (10.3%) arterial and 10 (31.3%) venous coronary-coronary grafts were occluded during the observation period. Conclusion Arterial coronary-coronary artery bypass grafting represents an alternative technique that allows complete myocardial revascularization.


1996 ◽  
Vol 131 (4) ◽  
pp. 836-839
Author(s):  
William G. Kussmaul ◽  
Francis C. Kempf ◽  
Kenneth L. Kershbaum

2005 ◽  
Vol 79 (2) ◽  
pp. 532-536 ◽  
Author(s):  
Lawrence J. Dacey ◽  
Donald S. Likosky ◽  
Bruce J. Leavitt ◽  
Stephen J. Lahey ◽  
Reed D. Quinn ◽  
...  

Circulation ◽  
1987 ◽  
Vol 75 (5) ◽  
pp. 1018-1024 ◽  
Author(s):  
T M Bateman ◽  
R J Gray ◽  
J S Whiting ◽  
D H Sethna ◽  
D S Berman ◽  
...  

1991 ◽  
Vol 17 (5) ◽  
pp. 1075-1080 ◽  
Author(s):  
Gerald M. FitzGibbon ◽  
Alan J. Leach ◽  
Henryk P. Kafka ◽  
Wilbert J. Keon

1998 ◽  
Vol 550 ◽  
Author(s):  
Robert M. Nerem

AbstractA long-term objective of many involved in blood vessel research is the development of a small diameter vascular substitute which can be used in coronary bypass graft surgery. If these efforts are to be successful, there are critical functional characteristics which must be achieved. In recent years many of those interested have turned their attention to tissue engineering, and over the past decade some progress has been reported. The results of some of these efforts are briefly reviewed here. Included is the strategy of the Georgia Tech team and recent results which demonstrate that in vitro mechanical stimulation of smooth muscle cell-seeded tubular collagen constructs induces a remodeling with the result that the associated material properties are considerably enhanced.


2018 ◽  
Vol 67 (06) ◽  
pp. 444-449
Author(s):  
Jill Jussli-Melchers ◽  
Bernd Panholzer ◽  
Christine Friedrich ◽  
Ole Broch ◽  
Katharina Huenges ◽  
...  

Abstract Background Patients receiving arterial grafts have superior late survival after coronary artery bypass graft (CABG) surgery. The aim of our study was to evaluate the mid- and long-term results of total arterial (TA) revascularization in the elderly. Methods Between January 2005 and December 2012, a retrospective study on age-, gender-, and EuroSCORE-matched patients aged 70 years and older was performed. Altogether, 356 patients who received isolated CABG were assigned to either TA group or control (CON) group. Results No significant differences were noted in regard to preoperative risk factors. The number of distal anastomoses was significantly higher in the CON group (3.6 ± 0.6 vs. 2.9 ± 0.8; p < 0.001). Postoperatively, no significant differences were noted in regard to morbidity or mortality. There were no significant differences in mortality rate at 1 year (5.6 vs. 5.2%; p = 0.98), or 5 years (9.0 vs. 12.1%; p = 0.39) between both groups. However, the TA group was associated with significantly higher rate of event-free survival (p = 0.017). Conclusion This study suggests that TA revascularization is an effective procedure. Lower rates of late cardiac events encourage the use of this concept for the elderly.


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