Off-pump coronary artery bypass grafting in simultaneous surgical treatment of patients with concomitant atherosclerotic lesion of coronary and supra-aortic arteries

Zhbanov I.V.; Kiladze I.Z.; Maklagina A.V.; Uryuzhnikov V.V.; Shabalkin B.V.

doi:https://doi.org/10.17116/kardio202215021114

Zhbanov I.V.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-7321-6214

Kiladze I.Z.

Petrovsky National Scientific Center of Surgery

Maklagina A.V.

Petrovsky Russian Scientific Center of Surgery

Uryuzhnikov V.V.

Petrovsky Russian Research Center of Surgery

Shabalkin B.V.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-0409-4521

Off-pump coronary artery bypass grafting in simultaneous surgical treatment of patients with concomitant atherosclerotic lesion of coronary and supra-aortic arteries

Authors:

Zhbanov I.V., Kiladze I.Z., Maklagina A.V., Uryuzhnikov V.V., Shabalkin B.V.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(2): 114‑121

DOI: 10.17116/kardio202215021114

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To cite this article:

Zhbanov IV, Kiladze IZ, Maklagina AV, Uryuzhnikov VV, Shabalkin BV. Off-pump coronary artery bypass grafting in simultaneous surgical treatment of patients with concomitant atherosclerotic lesion of coronary and supra-aortic arteries. Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(2):114‑121. (In Russ.)
https://doi.org/10.17116/kardio202215021114

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 analyze the immediate postoperative results of off-pump coronary artery bypass grafting in simultaneous surgical treatment of patients with concomitant atherosclerotic lesion of coronary and supra-aortic arteries.

MATERIAL AND METHODS

A retro- and prospective analysis included 143 patients who underwent simultaneous coronary artery bypass grafting and carotid endarterectomy. All patients were divided into 2 groups depending on surgical procedure: 74 (51.7%) patients — off-pump coronary artery bypass grafting, 69 (48.3%) patients — on-pump coronary artery bypass grafting.

RESULTS

Off-pump coronary artery bypass surgery combined with carotid endarterectomy was characterized by less surgery time (243.3±50.3 and 280.5±63.9 min, p<0.05), blood loss (245.3±119.5 and 378.1±108.5 ml, p<0.05) and higher hemoglobin level at the end of surgery (11.1±1.1 and 10.1±1.3 g/l, p<0.05). Incidence of postoperative complications was low. There was no in-hospital mortality. There were no perioperative myocardial infarctions in both groups.

CONCLUSION

Simultaneous off-pump coronary artery bypass surgery and carotid endarterectomy can be safely performed with low incidence of perioperative complications and minimal in-hospital mortality.

Keywords:

carotid endarterectomy

coronary artery bypass surgery

off-pump coronary artery bypass surgery

coronary artery disease

Authors:

Zhbanov I.V.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-7321-6214

Kiladze I.Z.

Petrovsky National Scientific Center of Surgery

Maklagina A.V.

Petrovsky Russian Scientific Center of Surgery

Uryuzhnikov V.V.

Petrovsky Russian Research Center of Surgery

Shabalkin B.V.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-0409-4521

Received:

15.11.2021

Accepted:

10.12.2021

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