Coronary endarterectomy with off-pump coronary artery bypass surgery

Eryilmaz, Sadık; İnan, Mustafa; Eren, Neyyir Tuncay; Yazıcıoğlu, Levent; Çorapçıoğlu, Tümer; Akalin, Hakkı

doi:10.1016/s0003-4975(02)04500-9

Cited by 49 publications

(39 citation statements)

References 18 publications

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“…ONCAB-CE -on-pump coronary artery bypass coronary endarectomy; OPCAB-CE -off-pump coronary artery bypass coronary endarectomy; MI -myocardial infarction and added myocardial protection techniques, and no PMI were observed in this study. The achievement of OPCAB with good results has encouraged surgeons to perform endarterectomy on beating hearts, and recent studies on OPCAB-CE showed favorable outcomes [15][16][17]. In these studies, OPCAB-CE was feasible and could be performed in patients with LV dysfunction who were expected to benefit from complete revascularization.…”

Section: Discussionmentioning

confidence: 99%

Early and mid-term results of coronary endarterectomy: Influence of cardiopulmonary bypass and surgical techniques

et al. 2017

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) on-pump coronary artery bypass with coronary endarterectomy (ONCAB-CE) versus off-pump coronary artery bypass with coronary endarterectomy (OPCAB-CE), and 2) "open" versus "closed" surgical techniques. Operative mortality and major morbidity, were investigated including perioperative myocardial infarction (PMI), and overall survival. Results: Operative mortality was 4.7% (3/64), and no PMI was observed in the study. No statistical differences in operative mortality rate between the ONCAB-CE and OPCAB-CE groups were found (3.1% vs. 6.2%, p = 1.0) or between open versus closed techniques (6.7% vs. 2.9%, p = 0.6). The incidence of major morbidity including cerebrovascular accident, atrial fibrillation, acute renal failure, mediastinitis, respiratory complications, and bleeding was comparable between all groups. There were seven late mortalities, and no differences were found in overall survival rate between all groups. Conclusions: Coronary endarterectomy appears to be a safe option for patients with diffuse coronary artery disease, regardless of whether CPB or a specified selection of surgical techniques are used. (Cardiol J 2017; 24, 3: 242-249)

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Section: Discussionmentioning

confidence: 99%

Early and mid-term results of coronary endarterectomy: Influence of cardiopulmonary bypass and surgical techniques

et al. 2017

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“…However, it is encouraging that 88.7% of our study population were free from angina at long term follow up, which is also supported by others study finding 21 .Naseri et al revealed a higher postoperative MI rate of 6.8% after OPCABG with CE in completely blocked or more than >50% stenosis 18 . However, multiple published literature shows that acute myocardial infarction (MI) due to acute graft occlusion is a noteworthy complication following CE with an incidence rate of 1.5% to19% 14, 19 . The occurrence of post-operative MI in our study was 1.43% in only CABG group and 3.3% in CE with CABG group.…”

Section: Discussionmentioning

confidence: 99%

Outcome of CABG with or without Coronary Endarterectomy in Bangladesh: A Retrospective Cohort Study

et al. 2018

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Abstract:Objective: In this review, we assess the outcome of surgical revascularization technique, coronary artery bypass grafting (CABG) with or without coronary endarterectomy (CE) for patients with diffuse coronary artery disease in a single surgeon's practice. Results: Of 2189 patients, 1000 patients required coronary endarterectomy in addition to OPCABG. Initially, there was a higher mortality rate and incidence of postoperative blood transfusion in the group of patients who had CE in addition to CABG, with no significant difference in other outcomes. But postoperative use of Heparin, Warfarin and Double antiplatelet agent was associated with decreased mortality significantly in our study. In comparison to other group, the patients in the combined CE with CABG group had a higher incidence of male sex, past MI, and poor left ventricular function. However,emergency CABG, renal impairment, poor left ventricular function, and also peripheral vascular disease were associated with higher mortality in both group of the patients; CE was not a predictor of postoperative mortality. MethodsConclusions: Total surgical revascularization is attainable and accomplishes, when Coronary endarterectomy is performed in addition to Off-pump coronary artery bypass graft in patients when there is no other choice for satisfactory revascularization.

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“…Prabhu et al [4] advise to stop angioplasty just distal to the most proximal critical lesion so as to prevent competitive flow [14], which perfectly suits their off-pump technique. Barra et al [12] manage to exclude the atheromatous plaques from the lumen of the LAD, so as at the end of the procedure 75% of the newly formed LAD originates from the LITA and 25% originates from the native artery floor.…”

Section: Discussionmentioning

confidence: 99%

Patch Angioplasty in Diffusely Diseased Left Anterior Descending Coronary Artery

Attia¹,

Elsrawy²

2014

JCCR

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Background: Severely diseased left anterior descending coronary artery (LAD) is a surgical challenge and several procedures were suggested to achieve adequate reconstruction. Aim of the work:The aim of this study is to assess safety and surgical outcome of the use of patch angioplasty for the reconstruction of severely diseased LAD. Material and methods:In the period between January 2009 and January 2012, 40 patients were chosen for reconstruction of a diffusely diseased left anterior descending coronary artery (LAD) with either left internal mammary artery (LIMA) patch or saphenous vien patch. Other associated significant coronary artery lesions were classically grafted with Inverted saphenous vein.Results: LAD patch was feasible in all cases and varied in length from 2-8 cm (5.1 + 1.8). Mean number of arterial and venous grafts was 2.1 + 0.64, mean aortic crossclamp time and bypass times were 60.8 + 18.2 and 80.2 + 23 minutes, mean ICU and hospital stays were 44.9 + 10.3 hours and 9 + 3.2 days; respectively. There were one hospital mortality and one complications by deep sternal wound infection , patients were followed up from 1 month to 3 months. Mean postoperative NYHA class (1.2 + 0.4) significantly improved, compared to the preoperative values (3.6 + 0.52; P<0.001). Conclusion:The use of LAD patch angioplasty is generally feasible and a safe alternative for the reconstruction of severely diseased LAD. KeywordsCoronary artery bypass grafting; Left anterior descending coronary artery; Left internal mammary artery; LAD venous and or arterial angioplasty

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Coronary endarterectomy with off-pump coronary artery bypass surgery

Cited by 49 publications

References 18 publications

Early and mid-term results of coronary endarterectomy: Influence of cardiopulmonary bypass and surgical techniques

Early and mid-term results of coronary endarterectomy: Influence of cardiopulmonary bypass and surgical techniques

Outcome of CABG with or without Coronary Endarterectomy in Bangladesh: A Retrospective Cohort Study

Patch Angioplasty in Diffusely Diseased Left Anterior Descending Coronary Artery

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