The impact of coronary artery endarterectomy on mortality and morbidity during coronary artery bypass grafting

Yener, Ali; Kervan, Ümit; Korkmaz, Kemal; Gedik, Hikmet Selçuk; Budak, Ali Baran; Genç, Serhat Bahadır; Özkan, Muhammet; Taşoğlu, İrfan; Paç, Mustafa

doi:10.5606/tgkdc.dergisi.2014.9883

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…This result was similar to the result reported in the literature. 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.…”

Section: Discussionmentioning

confidence: 88%

“…13 Duration of ICU stay was found to be higher in the Group-1; similar results are reported in the literature. 3,7,11 It has been stated that longer duration of ICU stay in endarterectomy patients are related to lung injury and prolonged intubation time due to longer operation time. 1 The present study did not investigate the prolonged mechanical ventilation time and inotrope usage.…”

Section: Discussionmentioning

confidence: 99%

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

Toker¹,

Özbek²,

Çelik³

et al. 2017

Turkiye Klinikleri J Cardiovasc Sci

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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

Toker¹,

Özbek²,

Çelik³

et al. 2017

Turkiye Klinikleri J Cardiovasc Sci

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“…Poor outcomes of coronary endarterectomy especially the high incidence of myocardial infarction may be attributed to endothelium damage which can lead platelet aggregation and finally acute thrombosis of the endartherectomised vessel [20]. Therefore we started acetylsalicyclic acid (100 mg) and clopidogrel (75 mg) treatment for all patients immediately after surgery.…”

Section: "#$%And! ;(! "#-And3! 5and88and%8! 742and-+04! 1+-+4#-<! And42#-3and-and13+*<)mentioning

confidence: 99%

Early postoperative results of on-pump coronary endarterectomy: is it still a controversy?

Eris

Sanrı

Engin

et al. 2021

The European Research Journal

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Objectives:The coronary endarterectomy combined with coronary artery bypass grafting (CABG) is an useful but still controversial surgical technique in diffuse coronary artery disease. The aim of this study was to analyze the operative and early postoperative outcomes of the patients who underwent CABG with and without coronary endarterectomy. Methods: This retrospective study included a total of 312 consequtive patients undergoing on-pump CABG from December 2018 to December 2020 in the Department of Cardiovascular Surgery, Bursa Yüksek İhtisas Training and Research Hospital. Patients were divided into 2 groups as those who underwent coronary endarterectomy combined with on-pump CABG (Group 1, n = 48) and those who underwent isolated on-pump CABG (Group 2, n = 264). Peroperative variables were obtained from our hospital's computerized database and retrospectively analyzed. Results: Previous percutaneus coronary intervention rate and the number of patients with diabetes mellitus was significantly higher in the endarterectomy group. The demographics and characteristics of the patients were similar between the two groups. The median number of distal anastomoses was 4 (2-5) in Group 1 and 2 (1-5) in Group 2. Median cross-clamp duration and perfusion times in Group 1 were longer than Group 2 (82 min vs. 63 min; p < 0.001 and 120 min vs. 95 min; p = 0.003, respectively). A total of 54 coronary endarterectomy practices were performed on 48 patients, and the LAD artery (73%) was the most endarterectomized vessel. In Group 1, postoperative 24 hours high-sensitive troponin I levels were significantly higher than in Group 2 (p < 0.001). There was no significant difference between the groups in terms of operative mortality, low cardiac output rates and perioperative myocardial infarction rates. Postoperative atrial fibrillation was significantly higher in Group 1 (p = 0.023). Conclusions: Although coronary endarterectomy is a complex procedure, in patients with diffuse coronary artery disease, it is an essential and sometimes mandotary method in order to achieve complete revacularization and can be performed safely with acceptable operative and early postoperative outcomes.

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Effects of coronary endarterectomy on postoperative early results in long segment coronary artery disease

Güvenç¹,

Goncu

Engin

et al. 2020

The European Research Journal

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Objectives: Main goal of coronary bypass surgery is complete revascularization. In some coronary endarterectomy applied patient groups, complete revascularization is inevitable. In this study, it was aimed to reveal factors affecting early mortality and morbidity in patients undergoing coronary endarterectomy. Methods: Retrospective records of preoperative, operative, and postoperative data of 98 patients undergoing coronary artery bypass grafting (CABG) with coronary endarterectomy between January 1, 2012, and October 30, 2016, were reviewed. Results: A total of 113 endarterectomies were performed in different coronary arteries. Of the patients, 22 (22.4%) were female and 76 (77.6%) were male. The mean of ages was 60.4 ± 9.9 (range; 36-81 years). A positive inotropic requirement was required in 68 (69.1%) patients and intra-aortic balloon pump was required for 23 (23.4%) patients. Mortality was observed in 10 patients (10.2%). Peroperative myocardial infarction was observed in 17 (17.3%) patients. Mortality rate was significantly higher in patients whose left ventricular ejection fraction was 30 or less and who had a higher risk in EuroSCORE (p < 0.001). When compared with the other vessels, mortality ratewas found to be higher for left anterior descending coronary artery endarterectomy (p = 0.038). Mortality in female patients undergoing endarterectomy was higher than male patients (p = 0.023). Conclusions: Mortality and morbidity are higher in patients undergoing coronary endarterectomy when compared to conventional CABG operations. However, it is a method that can be applied by considering certain risk factors.

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The impact of coronary artery endarterectomy on mortality and morbidity during coronary artery bypass grafting

Cited by 4 publications

References 22 publications

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

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

Early postoperative results of on-pump coronary endarterectomy: is it still a controversy?

Effects of coronary endarterectomy on postoperative early results in long segment coronary artery disease

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