Optimal Method of Coronary Endarterectomy for Diffusely Diseased Coronary Arteries

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

“…These could be seen as high rates compared with the results of conventional CABG only, but it could be said that rather than the technique itself being dangerous, the patients who receive CE already have high comorbidities and risk factors; in fact, the total CABG mortality during the same period in our hospital was 5.1% (62/1215), showing no significant difference statistically. For PMI, which is known to be one of the biggest complications of CE, mortality is also reported as ranging from 0% to 15% [11][12][13][14]. However, the incidence of PMI is gradually decreasing because of improvements in surgical techniques ONCAB-CE -on-pump coronary artery bypass coronary endarectomy; OPCAB-CE -off-pump coronary artery bypass coronary endarectomy; MI -myocardial infarction Table 5.…”

“…The closed technique is also called the traction technique, and it has the advantage that operation time is short and concise, but there is the possibility of an obstruction and intimal flap that cannot be completely ruled out with this operation. Nishi et al [14] compared the closed and on-lay patch bypass techniques and showed that there was no difference between the two groups in terms of perioperative mortality and morbidity, but they did note that the on-lay patch bypass group had better mid-term angiographic results. However, that study was different from this one as all patients received conventional CABG using CPB and cardioplegia.…”

“…Many studies have evaluated graft patency after CE, and the patency rate has been reported as occurring in 80-98.6% of cases [14,19,20]; these studies report on the mid-term or long-term patency from coronary angiography (CAG). In this study there was an attempt to evaluate the midterm patency of CE, but postoperative computed tomographic angiography (CTA) was performed in only 58% of the patients.…”

Comparison of Isolated Coronary Artery Bypass Grafting with Open Coronary Endarterectomy Followed by Coronary Artery Revascularization

“…1,4,10,11 Additionally, angiographic results were significantly in favor of open endarterectomy in midterm period. 12 After control coronary angiography; stenoses or occlusion free anastomoses have been found 76.1% of patients with long arteriotomy and on-lay patch anastomoses in a mean 20 months whereas 38.1% of the patients with short arteriotomy and closed traction method in a mean 24 months. 12 The number of patients with left ventricle dysfunction was higher in the Group-1 in the present study (p = 0.007).…”

“…12 After control coronary angiography; stenoses or occlusion free anastomoses have been found 76.1% of patients with long arteriotomy and on-lay patch anastomoses in a mean 20 months whereas 38.1% of the patients with short arteriotomy and closed traction method in a mean 24 months. 12 The number of patients with left ventricle dysfunction was higher in the Group-1 in the present study (p = 0.007). In literature; higher percentage of left ventricular dysfunctions in patients with endarterectomy as seen in our study or similar ventricular functions in patients with or without endarterectomy have been reported.…”