Adjunct Endarterectomy of the Left Anterior Descending Coronary Artery

Shapira, Nadiv; Lumia, Frank J.; Gottdiener, John S.; Germon, Patricia A.; Lemole, Gerald M.

doi:10.1016/s0003-4975(10)65927-9

Cited by 36 publications

(26 citation statements)

References 20 publications

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“…However, the literature on coronary endarterectomy as an adjunct to CABG shows favorable results comparable to the results of CABG alone. 3,4,12,13 Several techniques of LAD endarterectomy, reconstruction, and revascularization have been described previously. Parsonnet niques; however, in addition they used the LIMA either alone or in combination with a vein graft when skip endarterectomies were necessary and two arteriotomies needed to be grafted.…”

Section: Discussionmentioning

confidence: 99%

A Modified Reconstruction Technique After Extended Anterior Descending Artery Endarterectomy

Aranki

1993

J Cardiac Surgery

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An increasing number of patients with advanced coronary artery disease and diffusely complex atherosclerotic lesions are referred for coronary artery bypass surgery (CABG). Under these circumstances, complete myocardial revascularization with an adequate distal runoff can only be achieved by extensive manual endarterectomy and a reconstructive procedure prior to conduit placement. Because of the numerous septal and diagonal branches of the left anterior descending artery (LAD), an extended and meticulous endarterectomy is warranted. Placement of the internal mammary artery (IMA) on such a widely opened vessel requires reconstruction with a vein patch and the IMA. A modified technique of extended manual endarterectomy, distal vein patch, and proximal IMA reconstruction and revascularization is described. This technique was used in six patients between October 1990 and December 1992 with 100% early survival. This technique is less time consuming and more importantly allows for a direct artery-to-artery anastomosis with the potential for a better long-term patency.

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Section: Discussionmentioning

confidence: 99%

A Modified Reconstruction Technique After Extended Anterior Descending Artery Endarterectomy

Aranki

1993

J Cardiac Surgery

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“…2,23 Two synchronous arteriotomy can be used for coronary endarterectomy to make the framework rapid and reduce ischemic time. 24 The close method is shorter in duration and the graft anastomosis is easier than open method. 25 But the rate of snowplow effect is more in LAD following closed method as inadequate endarterectomy is more possible.…”

Section: How To Perform Ce?mentioning

confidence: 99%

“…Accordingly, obstacle of the lumen may happen distally as a result of a dissection or thrombus. 2,24 However, regardless of the way that the open endarterectomy takes extra time; the chance of intimal flap formation is less and subsequently preventing residual obstruction. So that, some author used the open technique for coronary endarterectomy, the quality is guaranteed.…”

Section: How To Perform Ce?mentioning

confidence: 99%

“…25 However, a conclusive decision to perform endarterectomy is made peroperatively when the above criteria are noted. 17,24 Trehan and Mishra are accounted the essential indications for coronary endarterectomy: 4 I. Multiple lesions in a coronary artery.…”

Section: What Are the Operative Criteria For Ce?mentioning

confidence: 99%

“…Perhaps, complete revascularization of the LAD is considered as a crucial determinant of the post-operative patient's recovery and it can achieve adequate myocardial revascularization and provide better post-operative outcome. 14,24 Myocardial contraction in the LAD territory is more vigorous than the RCA region. Those aides in the extraction of the distal atheromatous plaque by traction technique easily from LAD artery as compared to expulsion in the RCA.…”

Section: Fig-2: Distal Tapper End (Arrow Marked) Indicate Complete Rementioning

confidence: 99%

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Coronary Endarterectomy with off Pump Coronary Artery Bypass Surgery- A Review

et al. 2017

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Coronary endarterectomy is first described as an alternative surgical procedure for myocardial revascularization against diffuse coronary artery disease by Baily et al. in 1956. Coronary endarterectomy provides complete surgical revascularization of the myocardium in diffuse and calcified coronary arteries with adequate blood flow to distal part of occluded arteries, thus improving ventricular function. However, the initial outcomes of coronary endarterectomy were not satisfactory but now-a-days different studies have shown that coronary endarterectomy with coronary artery bypass grafting can be done safely with acceptable morbidity and mortality. Moreover, the graft patency rate on angiographic evaluation is also good following coronary endarterectomy. So, its time to reevaluate this old techniques, and reanalysis the current outcomes of coronary endarterectomy and readdress its indication in diffuse coronary artery diseaseCardiovasc. j. 2017; 10(1): 84-90

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Coronary Endarterectomy

Papakonstantinou¹

2020

Cardiac Surgery

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Adjunct Endarterectomy of the Left Anterior Descending Coronary Artery

Cited by 36 publications

References 20 publications

A Modified Reconstruction Technique After Extended Anterior Descending Artery Endarterectomy

A Modified Reconstruction Technique After Extended Anterior Descending Artery Endarterectomy

Coronary Endarterectomy with off Pump Coronary Artery Bypass Surgery- A Review

Coronary Endarterectomy

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