Cirurgia de revascularização do miocárdio com enxertos compostos

Paniágua, Pedro; Carranza, Ricardo; Gomes, Cândido R. M.; Sabatovicz, Nestor; Marques, Dilma L. L.; Franceschini, Itacir A.; Lima, André Esteves

doi:10.1590/s0102-76381999000100005

“…The use of arterial grafts has been the primary goal of all services, trying to reduce the reoperation and cardiovascular event rates [8,9,[11][12][13]. In spite of the great applicability of the saphenous graft, it is known that its evolution over the mid term and long term is unsatisfactory [6,11,14,15]. So why not use the same type of graft utilized in young patients in selected elderly patients?…”

Section: Commentsmentioning

confidence: 99%

<![CDATA[<B>The use of the radial artery as the second choice for arterial graft in patients over 70 years of age</B>]]>

Whitaker¹,

Passos²,

Ramalho³

et al. 2005

Braz. j. cardiovasc. surg.

View full text Add to dashboard Cite

Objective: Retrospective study evaluating the morbidmortality and hospital behavior in over 70-year-old patients submitted to myocardial revascularization involving the radial artery as the second arterial graft.Method: During the period of August 1994 to December 2002, 2487 cases of myocardial revascularization were performed by the group of the Juiz de Fora Heart Institute, 476 of whom were 70 years of age or older and 36 (Group II) received the radial artery as the second arterial graft. The same type of surgery was performed in 142 under 70-year-old patients (Group I). Reoperations, off-pump operations (OPCAB) or associated procedures were excluded from this study.Results: The median age was 72.5 years, the mortality rate was 6% in this group of patients and the incidence of complications was low, comparable to the 142 under 70-yearold patients (Group I) submitted to the same type of surgery. Conclusion:The results achieved with this study lead the authors to believe that the radial artery can be safely used as the second arterial graft in well selected septuagenarian patients, despite the greater risk of co-morbidities related to this age group.Descriptors: Coronary artery disease, surgery. Radial artery. Myocardial revascularization, old age.

show abstract

“…This can explain the greater number of overweight and diabetic patients when compared to the literature [7,8].…”

Section: Commentsmentioning

confidence: 99%

Obtenção minimamente invasiva de veia safena para cirurgia de revascularização do miocárdio

Martins¹,

Andrade²,

Silva³

et al. 2004

Rev Bras Cir Cardiovasc

0

View full text Add to dashboard Cite

Objective: To comparatively analyze minimally invasive procurement of saphenous veins using the MINI-HARVEST ® system and a technique using adapted traditional instruments.Method: From June 1996 to January 1999, 63 patients who were submitted to coronary artery bypass grafting surgery had their saphenous veins resected using minimally invasive techniques. For the first 30 patients of the series, a direct visualization method employing two Langenbeck's retractors was utilized and for the remaining 33 patients the MINI-HARVEST ® technique was used.Results: The mean age of the patients was 61 ± 8.75 years old. Fifty-two patients were male and 11 female. Forty-five patients were diabetics, 45 were either overweight or obese, 25 were smokers and 32 presented histories of myocardial infarction. The mean time to resect the saphenous vein using the Langenbeck's retractors was 34.2 ± 8.14 minutes and using the MINI-HARVEST ® system it was 39.20 ± 9.12 minutes. The lengths of the extracted veins were similar in both groups, varying between 10 and 30 cm. There was one case of superficial dehiscence in the Langenbeck group. With two patients in the MINI-HARVEST ® group and one in the Langenbeck group it was necessary to revert to the traditional method of procurement. The incidence of trans-operative infarction was 4.5 % (three patients) in the Langenbeck group and 3.1% (two patients) in the MINI-HARVEST ® group.Conclusions: We can conclude that the minimally invasive procurement methods of the saphenous vein by direct visualization are effective and safe, both when employing with adapted traditional instruments and when using purposemade retractors. We stress, however, that the MINI-HARVEST ® method does not require an assistant.

show abstract

“…With the increased experience and the use of the MINI-HARVEST ® we started to utilize the method considering the esthetic results too, but even then always indicating patients with higher risks of complications. This can explain the greater number of overweight and diabetic patients when compared to the literature [7,8].…”

Section: Commentsmentioning

confidence: 99%

<![CDATA[<b>Minimally invasive procurement of saphenous veins for coronary artery bypass grafting</b>]]>

Martins¹,

Andrade²,

Silva³

et al. 2004

Braz. j. cardiovasc. surg.

0

View full text Add to dashboard Cite

Objective: To comparatively analyze minimally invasive procurement of saphenous veins using the MINI-HARVEST ® system and a technique using adapted traditional instruments.Method: From June 1996 to January 1999, 63 patients who were submitted to coronary artery bypass grafting surgery had their saphenous veins resected using minimally invasive techniques. For the first 30 patients of the series, a direct visualization method employing two Langenbeck's retractors was utilized and for the remaining 33 patients the MINI-HARVEST ® technique was used.Results: The mean age of the patients was 61 ± 8.75 years old. Fifty-two patients were male and 11 female. Forty-five patients were diabetics, 45 were either overweight or obese, 25 were smokers and 32 presented histories of myocardial infarction. The mean time to resect the saphenous vein using the Langenbeck's retractors was 34.2 ± 8.14 minutes and using the MINI-HARVEST ® system it was 39.20 ± 9.12 minutes. The lengths of the extracted veins were similar in both groups, varying between 10 and 30 cm. There was one case of superficial dehiscence in the Langenbeck group. With two patients in the MINI-HARVEST ® group and one in the Langenbeck group it was necessary to revert to the traditional method of procurement. The incidence of trans-operative infarction was 4.5 % (three patients) in the Langenbeck group and 3.1% (two patients) in the MINI-HARVEST ® group.Conclusions: We can conclude that the minimally invasive procurement methods of the saphenous vein by direct visualization are effective and safe, both when employing with adapted traditional instruments and when using purposemade retractors. We stress, however, that the MINI-HARVEST ® method does not require an assistant. Descriptors: Myocardial revascularization. Cardiac surgical procedures, methods. Saphenous vein, surgery, methods. Surgical procedures, minimally invasive Resumo Objetivo: Analisar, comparativamente, a obtenção minimamente invasiva com o uso do MINI-HARVEST ® e Obtenção minimamente invasiva de veia safena para cirurgia de revascularização do miocárdioMinimally invasive procurement of saphenous veins for coronary artery bypass grafting 153 MARTINS, AS ET AL -Minimally invasive procurement of saphenous veins for coronary artery bypass grafting Bras Cir Cardiovasc 2004; 19(2): 152-156 Rev

show abstract

Cirurgia de revascularização do miocárdio com enxertos compostos

Cited by 4 publications

References 0 publications

<![CDATA[<B>The use of the radial artery as the second choice for arterial graft in patients over 70 years of age</B>]]>

<![CDATA[<B>The use of the radial artery as the second choice for arterial graft in patients over 70 years of age</B>]]>

Obtenção minimamente invasiva de veia safena para cirurgia de revascularização do miocárdio

<![CDATA[<b>Minimally invasive procurement of saphenous veins for coronary artery bypass grafting</b>]]>

Contact Info

Product

Resources

About