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R.S. Akchurin

FGBU National medical research cardiology center of Russia, Moscow, Russia

A.A. Shiryaev

Institute of the Clinical Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, Moscow, Russia

D.M. Galayutdinov

Institute of the Clinical Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, Moscow, Russia

V.P. Vasiliev

Institute of the Clinical Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, Moscow, Russia

E.E. Vlasova

Institute of the Clinical Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, Moscow, Russia

D.I. Cherkashin

National Medical Cardiology Research Center of the Ministry of Health, Moscow, Russia

10-year results of coronary artery bypass grafting with microsurgical technique

Authors:

R.S. Akchurin, A.A. Shiryaev, D.M. Galayutdinov, V.P. Vasiliev, E.E. Vlasova, D.I. Cherkashin

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2016;9(2): 4‑14

DOI: 10.17116/kardio2016924-14

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10-YEAR RESULTS OF CORONARY ARTERY BYPASS GRAFTING WITH MICROSURGICAL TECHNIQUE
10-YEAR RESULTS OF CORONARY ARTERY BYPASS GRAFTING WITH MICROSURGICAL TECHNIQUE

To cite this article:

Akchurin RS, Shiryaev AA, Galayutdinov DM, Vasiliev VP, Vlasova EE, Cherkashin DI. 10-year results of coronary artery bypass grafting with microsurgical technique. Russian Journal of Cardiology and Cardiovascular Surgery. 2016;9(2):4‑14. (In Russ., In Engl.)
https://doi.org/10.17116/kardio2016924-14

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Aim. To compare long-term outcomes of coronary artery bypass surgery using microsurgical and standard technique for distal anastomoses. Material and methods. It was analyzed 10-year results of 193 patients who underwent elective coronary artery bypass grafting (CABG) in 1999-2001. Analysis included survival, angina recurrence, incidence of non-fatal myocardial infarction and reoperation rate. Initially patients were randomized into two groups: microsurgical technique (n=89) and conventional technique (n=104). Survival analysis was performed using Kaplan-Meier method. Results. 10-year survival in case of microsurgical method compared with conventional technique was 84,3 and 70,2% (p=0,03); non-fatal myocardial infarction incidence - 9,6 and 21,2% (p=0,03); angina recurrence - 14,4 and 25,5% (p=ns); reoperation rate - 10,8 and 22,3% (p=0,04), respectively. Conclusion. The use of surgical microscope and microsurgical technique decreases mortality, non-fatal myocardial infarction incidence and reoperation rate. Thus, the use of large optical magnification has a positive effect on survival and efficacy of coronary surgery during follow-up.

Keywords:

coronary artery disease
coronary artery bypass grafting
microsurgical technique
surgical microscope
survival

Authors:

R.S. Akchurin

FGBU National medical research cardiology center of Russia, Moscow, Russia

A.A. Shiryaev

Institute of the Clinical Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, Moscow, Russia

D.M. Galayutdinov

Institute of the Clinical Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, Moscow, Russia

V.P. Vasiliev

Institute of the Clinical Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, Moscow, Russia

E.E. Vlasova

Institute of the Clinical Cardiology named after A.L. Myasnikov of National Medical Research Center for Cardiology, Moscow, Russia

D.I. Cherkashin

National Medical Cardiology Research Center of the Ministry of Health, Moscow, Russia

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