Annual outcomes of coronary artery bypass grafting in patients with diffuse lesion of coronary arteries

Shiryaev AA, Akchurin RS, Vasiliev VP, Galyautdinov DM, Vlasova EE, Kurbanov SK, Zaikovskii VYu. Annual outcomes of coronary artery bypass grafting in patients with diffuse lesion of coronary arteries. Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(5):413‑419. (In Russ.)
https://doi.org/10.17116/kardio202114051413

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To evaluate 1-year outcomes of coronary artery bypass grafting (CABG) in patients with diffuse and local lesion of coronary artery.

MATERIAL AND METHODS

We studied the results of CABG for the period January 2018 — July 2019 in two groups of patients. Propensity score matching was applied. Group 1 comprised 148 patients with diffuse coronary disease (DCD), group 2 — 148 patients with local coronary lesion. On-pump complete revascularization was carried out using microsurgical technique in all cases. In-hospital and 1-year results were compared.

RESULTS

Incidence of non-fatal perioperative myocardial infarction was insignificantly higher in group 1 compared to group 2 (5 (3.4%) vs 1 (0.7%) cases, p=0.214). Incidence of other adverse events and in-hospital mortality were similar in both groups. In long-term period, incidence of angina recurrence was insignificantly higher in patients with DCD (12 (8.2%) vs 7 (4.9%) cases, p=0.343). Incidence of coronary events (myocardial infarction, redo revascularization) and all-cause mortality were similar in both groups. Mortality from cardiac and coronary diseases was the same in both groups (by 2 (1.4%) patients).

CONCLUSION

Our study demonstrates advisability of complete coronary revascularization in patients with DCD. Microsurgical technique is an important auxiliary tool for complex reconstruction of coronary arteries.

Keywords:

coronary artery bypass grafting

diffuse coronary artery disease

microsurgery of coronary arteries

coronary endarterectomy

Authors:

Shiryaev A.A.

Chazov National Medical Research Centre of Cardiology

ORCID: 0000-0002-3325-9743

Akchurin R.S.

Chazov National Medical Research Centre of Cardiology

ORCID: 0000-0002-2105-8258

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

Vlasova E.E.

National Medical Research Center of Cardiology

RSCI AuthorID: 289380
Scopus AuthorID: 7006174730
ORCID: 0000-0003-2925-244X

Kurbanov S.K.

Chazov National Medical Research Centre of Cardiology

ORCID: 0000-0001-7767-1695

Zaikovskii V.Yu.

National Medical Research Center of Cardiology

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

Received:

06.12.2020

Accepted:

04.02.2021

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