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Charchian É.R.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Gerasimov A.N.

Sechenov First Moscow State Medical University, Moscow, Russia

Skvortsov A.A.

Federal State Budget Organization National Medical Research Center of Cardiology, Ministry of Healthcare Russian Federation, Moscow, Russia

Khachatryan Z.R.

Department of Aortic Surgery (head — MD E.R. Charchyan), Acad. B.V. Petrovsky Russian Research Center for Surgery (director — acad. of RAS Yu.V. Belov), Moscow, Russia

Pyumpyulyan A.G.

Petrovsky Russian Research Center for Surgery, Moscow, Russia

Isaev R.M.

Chair of Cardiovascular Surgery and Interventional Cardiology (head — acad.of RAS Yu.V. Belov), acad. B.V. Petrovskiy Russian Research Centre of Surgery, Chair of Medical Informatics and Statistics (head — prof. A.N. Gerasimov) of I.M. Sechenov First Moscow State Medical University

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Coronary endarterectomy and shunt plasty in coronary artery bypass surgery: is there any difference in short-term results?

Authors:

Charchian É.R., Gerasimov A.N., Skvortsov A.A., Khachatryan Z.R., Pyumpyulyan A.G., Isaev R.M., Belov Yu.V.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2018;11(5): 53‑59

DOI: 10.17116/kardio20181105153

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CORONARY ENDARTERECTOMY AND SHUNT PLASTY IN CORONARY ARTERY BYPASS SURGERY: IS THERE ANY DIFFERENCE IN SHORT-TERM RESULTS?
CORONARY ENDARTERECTOMY AND SHUNT PLASTY IN CORONARY ARTERY BYPASS SURGERY: IS THERE ANY DIFFERENCE IN SHORT-TERM RESULTS?

To cite this article:

Charchian ÉR, Gerasimov AN, Skvortsov AA, Khachatryan ZR, Pyumpyulyan AG, Isaev RM, Belov YuV. Coronary endarterectomy and shunt plasty in coronary artery bypass surgery: is there any difference in short-term results? Russian Journal of Cardiology and Cardiovascular Surgery. 2018;11(5):53‑59. (In Russ.)
https://doi.org/10.17116/kardio20181105153

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
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Aim — to analyze the outcomes of coronary endarterectomy and shunt plasty in advanced age patients with coronary artery disease and diffuse-distal coronary lesion. Material and methods. Coronary artery bypass grafting (CABG) combined with coronary endarterectomy (CE) was performed in 42 patients (group 1) at the aortic surgery department of Petrovsky Russian Research Center for Surgery in February 2013 — December 2016. Group 2 included 42 patients after CABG and shunt plasty. Control group consisted of 42 randomly selected patients after CABG without any above-mentioned techniques. Results. Angina pectoris NYHA class III—IV and previous myocardial infarction (MI) were significantly more common in group 2 (73.8 and 76.2%, respectively). Shunt plasty within left anterior descending artery was performed 3.7 times more often compared with CE (RR 3.7 95% CI 1.3—10.1; p=0.001). Improved local LV contractility in postoperative period was more frequent in group 2 (26.2%, 95% CI 15.7—39.5; p=0.001). Length of hospital-stay was similar in all groups. Conclusion. CE and shunt plasty are comparable surgical techniques. Their application is followed by possible complete myocardial revascularization in patients with diffusive distal coronary lesion with satisfactory immediate postoperative outcome. Surgery for strict indications, surgeon’s experience and careful postoperative follow-up are very important.

Keywords:

coronary endarterectomy
shunt plasty
coronary artery bypass grafting

Authors:

Charchian É.R.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Gerasimov A.N.

Sechenov First Moscow State Medical University, Moscow, Russia

Skvortsov A.A.

Federal State Budget Organization National Medical Research Center of Cardiology, Ministry of Healthcare Russian Federation, Moscow, Russia

Khachatryan Z.R.

Department of Aortic Surgery (head — MD E.R. Charchyan), Acad. B.V. Petrovsky Russian Research Center for Surgery (director — acad. of RAS Yu.V. Belov), Moscow, Russia

Pyumpyulyan A.G.

Petrovsky Russian Research Center for Surgery, Moscow, Russia

Isaev R.M.

Chair of Cardiovascular Surgery and Interventional Cardiology (head — acad.of RAS Yu.V. Belov), acad. B.V. Petrovskiy Russian Research Centre of Surgery, Chair of Medical Informatics and Statistics (head — prof. A.N. Gerasimov) of I.M. Sechenov First Moscow State Medical University

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

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