Coronary artery bypass grafting for diffuse coronary atherosclerosis using autologous arterial grafts

Akchurin RS, Shiryaev AA, Andreev AV, Vasiliev VP, Galyautdinov DM, Zaikovskii VYu, Mukimov ShD. Coronary artery bypass grafting for diffuse coronary atherosclerosis using autologous arterial grafts. Russian Cardiology Bulletin. 2021;16(4):5‑10. (In Russ.)
https://doi.org/10.17116/Cardiobulletin2021160415

Подписка 2026 Кардиологический вестник (Russian Cardiology Bulletin)

Использование инфографики авторами научных работ

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Abstract:

Diffuse coronary atherosclerosis significantly restricts the possibilities of complete myocardial revascularization. As a result, it is one of the main predictors of worse results of coronary artery bypass grafting. The number of patients with diffuse coronary artery disease is continuously growing. According to various authors, these ones make up 50% of patients referred for coronary artery bypass surgery. Conservative management in these patients is characterized by poor prognosis. Coronary artery bypass grafting is optimal for diffuse lesions. Analysis of angiographic results of coronary artery bypass surgery in patients with diffuse coronary artery disease has demonstrated a higher patency of autoarterial grafts in some studies. At the same time, clinical efficacy of grafting with additional autologous arteries, in particular, radial artery is insufficiently studied in these patients. Moreover, function of autoarterial grafts during coronary bypass grafting and complex coronary reconstructions in patients with diffuse lesions is still unclear. This review is devoted to autoarterial coronary artery bypass grafting in patients with diffuse coronary artery lesions undergoing complex reconstructions. We can conclude that autologous arterial grafts, in particular radial artery are perspective in these patients.

Keywords:

coronary artery bypass grafting

autoarterial grafting

diffuse coronary artery disease

Authors:

Akchurin R.S.

Chazov National Medical Research Centre of Cardiology

ORCID: 0000-0002-2105-8258

Shiryaev A.A.

Chazov National Medical Research Centre of Cardiology

ORCID: 0000-0002-3325-9743

Andreev A.V.

Regional Clinical Hospital No. 2;
Kuban State Medical University

ORCID: 0000-0003-0945-9400

Vasiliev V.P.

Chazov National Medical Research Centre of Cardiology

ORCID: 0000-0002-2297-6026

Galyautdinov D.M.

Chazov National Medical Research Centre of Cardiology

ORCID: 0000-0002-3312-9447

Zaikovskii V.Yu.

National Medical Research Center of Cardiology

SPIN RSCI: 2915-4367
Scopus AuthorID: 57330904500
ORCID: 0000-0002-3312-9447

Mukimov Sh.D.

National Medical Research Center of Cardiology

Scopus AuthorID: 57242748200
ORCID: 0000-0001-6191-5210

Received:

29.11.2021

Accepted:

15.11.2021

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References:

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