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