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[Methods of Coronary Anastomosis].
Kyobu Geka
September 2024
Department of Cardiovascular Surgery, Kumamoto University, Kumamoto, Japan.
In recent years, percutaneous coronary intervention (PCI) has been performed for left main trunk lesions and severe three-vessel lesions, which were previously considered indications for coronary artery bypass grafting( CABG). As a result, more patients with poorer general conditions or vascular characteristics are being considered for CABG. In the current era of PCI, surgeons are required to achieve high bypass graft patency and to perform anastomosis according to the coronary artery lesion and the characteristics of the bypass graft.
View Article and Find Full Text PDF[Coronary artery disease multivessel not amenable to revascularization: contemporary cohort].
Rev Med Inst Mex Seguro Soc
July 2024
Instituto Mexicano del Seguro Social, Centro Médico Nacional del Noroeste, Hospital de Especialidades No. 2 "Luis Donaldo Colosio Murrieta", Grupo de Investigación Cardiovascular. Ciudad Obregón, Sonora, México.
Background: Severe diffuse coronary artery disease with anatomy that is not amenable to revascularization represents a poorly studied entity, with a poorly defined prognosis and prevalence, associated with high morbidity and mortality, poor quality of life and high hospitalization rates.
Objective: Due to the limited evidence in this clinical field and the absence of contemporary studies, we decided to explore this line of research, determining epidemiological, clinical and prognostic aspects.
Material And Methods: Analytical, retrospective observational cohort study, carried out in a National Medical Center.
Vein Patch Angioplasty with Internal Mammary Artery Grafting of the Left Anterior Descending Coronary Artery.
Acta Med Philipp
April 2024
Division of Thoracic, Cardiac and Vascular Surgery, Department of Surgery, College of Medicine and Philippine General Hospital, University of the Philippines Manila.
Objective: To describe the treatment outcomes of patients who underwent coronary artery bypass grafting (CABG) with vein patch angioplasty with internal mammary artery (IMA) grafting of the diffusely diseased left anterior descending (LAD) coronary artery.
Methods: This is a retrospective observational study of 26 patients who have undergone vein patch angioplasty of the LAD coronary artery with IMA grafting in three centers by a single surgeon from January 2012 to August 2017. The demographic profile, intraoperative data, and postoperative outcome (including in-hospital mortality and morbidity, perioperative myocardial infarction, and NYHA functional classification) were recorded.
Nearly catastrophe coronary perforation: Is it second drug-eluting stent effective?
Narra J
April 2024
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia.
Coronary artery perforation (CAP) is an uncommon yet serious complication. Although severe perforations (Ellis III) have become more frequent, the overall mortality rate associated with perforations (7.5%) has decreased in recent years.
View Article and Find Full Text PDFEndarterectomy may be an effective additional treatment for three diffuse coronary artery disease complicated with diabetes.
Perfusion
March 2024
Department of Cardiac Surgery, Capital Medical University Beijing Anzhen Hospital, Chaoyang-qu, Beijing, China.
Objective: In order to evaluate the clinical efficacy of coronary endarterectomy (CE) and coronary artery bypass grafting (CABG) in patients with diabetes complicated with three diffuse coronary artery stenosis.
Methods: A retrospective analysis was conducted on 460 patients with diabetes mellitus and diffuse three-vessel coronary artery disease who underwent CABG in our department from September 2015 to December 2021. The patients were divided into two groups according to whether they underwent CE: the simple CABG group (group A, = 254) and the CABG combined CE group (group B, = 206).
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