Left main coronary disease: improved early outcomes after off-pump coronary artery bypass grafting in high-risk patients

Kızıltepe, Uğursay; Kurtoğlu, Murat; Özerdem, Gökhan; Şahinalp, Şahin; Temizturk, Zeki; Bozguney, Muhammed

doi:10.5603/kp.2013.0190

Cited by 2 publications

(2 citation statements)

References 25 publications

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“…During and after harvesting of the LIMA, a warm papaverine solution was used to prevent LIMA spasm. Stabilization of target coronary arteries was achieved via four myocardial radial traction sutures as described in detail previously [ 13 , 14 ] and no commercial stabilization system was used. Intracoronary shunts were not used, while a bloodless field was obtained by occlusion of the proximal target vessel by lightweight bulldog clamps and visualization was aided with constant saline squirting during the anastomosis.…”

Section: Methodsmentioning

confidence: 99%

Sequential left internal mammary artery grafting in combination with the aortic no-touch technique

Bulut¹,

İnce²,

Sungur³

et al. 2022

kitp

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Aim: This study aimed to investigate the short-term outcomes achieved with off-pump bypass combined with the aortic notouch technique where sequential anastomoses between the left internal mammary artery (LIMA), left anterior descending (LAD) and diagonal artery were employed. Material and methods: A total of 583 patients (mean age 63, 80% male) who underwent off-pump bypass (LIMA-diagonal-LAD sequential) were enrolled in this retrospective analysis. Data regarding the frequency of in-hospital postoperative complications, intra-aortic balloon pump (IABP) and inotropic agent requirement, re-exploration for bleeding, and length of hospital stay were collected. Anastomosis patency was evaluated in 49 patients who underwent angiography. Results: 2.6% of the participants received inotropic agents and 0.5% required IABP. Frequency of acute renal failure, sternal wound infection, cerebrovascular event, respiratory failure, and hemodialysis was less than 1% in total. Among the 49 patients undergoing angiography at an average 41 ±17 months after bypass, the LIMA-LAD was patent in 98% and the LIMA-diagonal was patent in 84% of the subjects. Preoperative left ventricle ejection fraction (LVEF) and recent myocardial infarction (MI) prior to bypass were significantly correlated with postoperative IABP and inotropic agent requirement (r = 0.165, p < 0.01 for LVEF, p = 0.021 for recent MI). Conclusions: Off-pump bypass in combination with the aortic no-touch technique is associated with favorable postoperative outcomes including reduced postoperative stroke, renal dysfunction, IABP, and inotropic agent requirement compared to the results of previous randomized prospective studies published in the literature.

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Section: Methodsmentioning

confidence: 99%

Sequential left internal mammary artery grafting in combination with the aortic no-touch technique

Bulut¹,

İnce²,

Sungur³

et al. 2022

kitp

View full text Add to dashboard Cite

show abstract

“…Именно плановый характер операции, исключе-ние ИК, максимальная реваскуляризация миокарда и тщательное предоперационное обследование могут сни-зить частоту осложнений при операциях КШ у пациентов со стенозом ствола ЛКА [2,3,8,9,11].…”

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The results of off-pump coronary artery bypass grafting in patients with left main coronary artery stenosis and equivalent lesion of left main coronary artery

Belov¹,

Lysenko²,

Комаров³

et al. 2016

Kardiol. serdechno-sosud. khir.

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Left main coronary disease: improved early outcomes after off-pump coronary artery bypass grafting in high-risk patients

Abstract: Using the off-pump technique is safe and improves postoperative early outcomes in high-risk patients with LMCA disease.

Cited by 2 publications

References 25 publications

Sequential left internal mammary artery grafting in combination with the aortic no-touch technique

Sequential left internal mammary artery grafting in combination with the aortic no-touch technique

The results of off-pump coronary artery bypass grafting in patients with left main coronary artery stenosis and equivalent lesion of left main coronary artery

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