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Al'sov S.A.

NNIIPK im. akad. E.N. Meshalkina Minzdravsotsrazvitiia RF

Osipov D.E.

Meshalkin National Medical Research Center of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia

Akchurin R.S.

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

Shiryaev A.A.

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

Sirota D.A.

NNIIPK im. akad. E.N. Meshalkina Minzdravsotsrazvitiia RF

Khvan D.S.

FGU NNIIPK im. akad. E.N. Meshalkina Minzdravsotsrazvitiia Rossii

Cherniavskiĭ A.M.

Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina;
Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia Rossii, Moskva

Tsirikhov V.R.

Meshalkin National Medical Research Center of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia, National Medical Research Center of Cardiology of Healthcare Ministry of the Russian Federation, Moscow, Russia

Microsurgery of coronary arteries using an operating microscope

Authors:

Al'sov S.A., Osipov D.E., Akchurin R.S., Shiryaev A.A., Sirota D.A., Khvan D.S., Cherniavskiĭ A.M., Tsirikhov V.R.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2019;(1): 60‑64

Read: 2094 times


To cite this article:

Al'sov SA, Osipov DE, Akchurin RS, et al. . Microsurgery of coronary arteries using an operating microscope. Pirogov Russian Journal of Surgery. 2019;(1):60‑64. (In Russ.)
https://doi.org/10.17116/hirurgia201901160

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References:

  1. Chazova IE, Oschepkova EV. The fight against cardiovascular diseases: problems and solutions at the present stage. Vestnik Roszdravnadzora. 2015;5:7-10. (In Russ.)
  2. Vishnevsky A, Andreev E, Timonin S. Mortality from cardiovascular diseases and life expectancy in Russia. Demograficheskoe obozrenie. 2016;3(1):6-34. (In Russ.)
  3. Bazylev VV, Shutov DB, Astashkin AF, Chernogrivov AE. Organizational basis for increasing the availability of cardiac surgery care to the population by the example of the Penza region Vestnik Roszdravnadzora. 2015;5:19-25. (In Russ.)
  4. Tamai S. History of Microsurgery. Plast Reconstr Surg. 2009;124:282-294. https://doi.org/10.1097/prs.0b013e3181bf825e
  5. Semchenko A. Kratkaya istoriya koronarnoi khirurgii. M.: Izdatel’skie resheniya; 2016.
  6. Favaloro RG. Saphenous Vein Autograft Replacement of Severe Segmental Coronary Artery Occlusion. The Annals of Thoracic Surgery. 1968;5(4):334-339. https://doi.org/10.1016/s0003-4975(10)66351-5
  7. Head S, Kieser T, Falk V, Huysmans H, Kappetein A. Coronary artery bypass grafting: Part 1 — the evolution over the first 50 years. European Heart Journal. 2013;34(37):2862-2872. https://doi.org/10.1093/eurheartj/eht330
  8. Garrett HE, Dennis EW, DeBakey ME. Aortocoronary bypass with saphenous vein graft. Seven-year follow-up. JAMA: The Journal of the American Medical Association. 1973;223(7):792-794. https://doi.org/10.1001/jama.1973.03220070046012
  9. Akchurin RS, Shiryaev AA. Mikrokhirurgiya koronarnykh arterii: rukovodstvo. M.: GEOTAR-Media; 2012.
  10. Bockeria LA, Glyantsev SP. Professor Vasily Ivanovich Kolesov: parade of priorites (To the 50th anniversary of the world’s first operation of mammary-coronary artery anastomosis and the 110th anniversary of the 53 birth of its author — V.I. Kolesov). Annaly khirurgii. 2014;3:53-62. (In Russ.)
  11. Green GE, Sosa JA, Cameron A. Prospective study of feasibility of routine use of multiple internal mammary artery anastomoses. J Cardiovasc Surg (Torino). 1989;30(4):643-647.
  12. Green GE. Use of the internal mammary artery in myocardial revascularization. The Annals of Thoracic Surgery. 1988;45(4):453-454. https://doi.org/10.1016/s0003-4975(98)90027-3
  13. Green GE, Cameron AA, Goyal A, Wong S, Schwanede J. Five-year follow-up of microsurgical multiple internal thoracic artery grafts. The Annals of Thoracic Surgery. 1994;58(1):74-79. https://doi.org/10.1016/0003-4975(94)91074-x
  14. Cameron AA, Green GE, Brogno D, Thornton J. Internal thoracic artery grafts: 20-year clinical follow-up. Journal of the American College of Cardiology. 1995;25(1):188-192. https://doi.org/10.1016/0735-1097(94)00332-k
  15. Nylen CO. The Otomicroscope and Microsurgery 1921—1971. Acta Otolaryngol. 1972;73(2-6):453-454. https://doi.org/10.3109/00016487209138965
  16. Rickard RF, Hudson DA. A History of Vascular and Microvascular Surgery. Ann Plast Surg. 2014;73(4):465-472. https://doi.org/10.1097/sap.0b013e3182710027
  17. Haeseker B. Microsurgery, a ‘small’ surgical revolution in the medical history of the 20th century. Ned Tijdschr Geneeskd. 1999;143(16):858-864.
  18. Jacobson JH, Suarez EL. Microsurgery in anastomosis of small vessels. Surg Forum. 1960;11:243-245.
  19. Buncke HJ, Schulz WP. Experimental digital amputation and reimplantation. Plast Reconstr Surg. 1965;36:62-70.
  20. Green GE, Stertzer SH, Reppert EH. Coronary Arterial Bypass Grafts. Ann Thorac Surg. 1968;5(5):443-450.
  21. Katsumoto K. Clinical experience of coronary artery bypass grafting using surgical microscope. Kyobu Geka. 1996;49(3):182-186.
  22. Toumpoulis IK, Anagnostopoulos CE, Balaram SK, Rokkas CK, Swistel DG, Ashton RC Jr, DeRose JJ Jr. Assessment of independent predictors for long-term mortality between women and men after coronary artery bypass grafting: are women different from men? J Thorac Cardiovasc Surg. 2006;131(2):343-351. https://doi.org/10.1016/j.jtcvs.2005.08.056
  23. Akchurin RS, Shiryaev AA, Galyautdinov DM, Vasiliev VP, Vlasova EE, Cherkashin DI. 10-year results of coronary artery bypass grafting with microsurgical technique. Kardiologiya i serdechno-sosudistaya khirurgiya. 2016;9(2):4-14. (In Russ.) https://doi.org/10.17116/kardio2016924-14
  24. Akchurin RS, Shiryaev AA, Galyautdinov DM et al. Effectiveness of coronary surgery: results of 20 years observation. Kardiologiya i serdechno-sosudistaya khirurgiya. 2014;(1):10-14. (In Russ.)
  25. Semchenko AN, Andreev DB, Sadykov AA. Coronary artery bypass grafting using microvascular technique and surgical microscope: immediate results. Kardiologiya i serdechno-sosudistaya khirurgiya. 2016;9(4):22-31. (In Russ.) https://doi.org/10.17116/kardio20169422-31
  26. Lysenko AV, Belov YuV, Lednev PV, Salagaev GI, Stonogin AV, Keshikov N. Koronarnoe shuntirovanie s primeneniem operatsionnogo mikroskopa — opyt FGBNU RNTsKh im. akad. BV Petrovskogo. Bjulleten’ NCSSH im. AN Bakuleva RAMN. 2017;18(6), Prilozhenie: 206. (In Russ.)
  27. Akchurin RS, Shiryaev AA, Vasiliev VP, Galyautdinov DM, Vlasova EE. Modern trends in coronary surgery. Circulation Pathology and Cardiac Surgery. 2017;21(3S):34-44. (In Russ.) https://doi.org/10.21688/1681-3472-2017-3S-34-44
  28. Campeau L, Enjalbert M, Lesperance J, Vaislic C, Grandin CM, Bourassa MG. Atherosclerosis and late closure of aortocoronary saphenous vein grafts: sequential angiografic studies at 2 weeks, 1 year, 5 to 7 years and 10 to 12 years after surgery. Circulation. 1983;68:1-7.
  29. Hess CN, Lopes RD, Gibson CM, et al. Saphenous Vein Graft Failure after Coronary Artery Bypass Surgery: Insights from PREVENT IV. Circulation. 2014;130(17):1445-1451. https://doi.org/10.1161/circulationaha.113.008193
  30. Lie JT, Lawrie GM, Morris GS. Aortocoronary bypass saphenous vein graft atherosclerosis. Anatomic study of 99 vein grafts fron normal and hyperlipidemic patients up to 75 months postoperatively. Am J Cardiol. 1977;40:906-914. https://doi.org/10.1016/0002-9149(77)90041-8
  31. Bourassa MG, Campeau L, Lespérance J, Grondin CM. Changes in grafts and coronary arteries after saphenous vein aortocoronary bypass surgery: results at repeat angiography. Circulation. 1982;65(7):90-97. https://doi.org/10.1161/01.cir.65.7.90
  32. Harskamp RE, Lopes RD, Baisden CE, de Winter RJ, Alexander JH. Saphenous vein graft failure after coronary artery bypass surgery: pathophysiology, management, and future directions. Ann Surg. 2013;257(5):824-833. https://doi.org/10.1097/sla.0b013e318288c38d
  33. Batayias GE, Barboriak JJ, Korns ME, Pintar K. The spectrum of pathologic changes in aortocoronary saphenous vein grafts. Circulation. 1977;56:18-22.
  34. Barboriak JJ, Pintar K, Van Horn DL, Batayias GE, Korns ME. Pathologic findings in the aortocoronary vein grafts. A scanning electron microscope study. Atherosclerosis. 1978;29(1):69-80. https://doi.org/10.1016/0021-9150(78)90095-3
  35. Brody WR, Angeli WW, Kosek JC. Histologic fate of the venous coronary artery bypass in dogs. Am J Pathol. 1972;66(1):111-130.
  36. Yang J, Wang L, Li H, et al. Distal Anastomosis Support for Coronary Artery Bypass Grafting: A New Surgical Technique and Current Outcomes. Heart Lung Circ. 2017;26(11):1224-1230. https://doi.org/10.1016/j.hlc.2016.10.018
  37. Fuchs JC, Mitchener JS 3rd, Hagen PO. Postoperative changes in autologous vein grafts. Ann Surg. 1978;188(1):1-15.
  38. Vural KM, Sener E, Taşdemir O. Long-term patency of sequential and individual saphenous vein coronary bypass grafts. Eur J Cardiothorac Surg.2001;19(2):140-144. https://doi.org/10.1016/s1010-7940(00)00629-1
  39. Hayhurst JW, O’Brien BM. An experimental study of microvascular technique, patency rates and related factors. Br J Plast Surg. 1975;28(2):128-132. https://doi.org/10.1016/s0007-1226(75)90175-7
  40. Baxter TJ, O’Brien BM, Henderson PN, Bennett RC. The histopathology of small vessels following microvascular repair. Br J Surg. 1972;59(8):617-622. https://doi.org/10.1002/bjs.1800590809
  41. Gundry SR, Jones M, Ishihara T, Ferrans VJ. Intraoperative Trauma to Human Saphenous Veins: Scanning Electron Microscopic Comparison of Preparation Techniques. Ann Thorac Surg. 1980;30(1):40-47. https://doi.org/10.1016/s0003-4975(10)61200-3
  42. Mattox DE. Microvascular Anastomosis: A Scanning Electron Microscopic Study. Otolaryngol Head Neck Surg. 1980;88(3):252-256. https://doi.org/10.1177/019459988008800312
  43. Acland R. Thrombus formation in microvascular surgery: an experimental study of the effects of surgical trauma. Surgery. 1973;73(5):766-771.
  44. Orak I, Güneren E, Yildiz L. A new technique for microvascular anastomosis: eversion with 3 horizontal mattress sutures. Ann Plast Surg. 2006;57(1):80-83. https://doi.org/10.1097/01.sap.0000203999.59856.c5
  45. Little AG, eds. Complications in cardiothoracic surgery: avoidance and treatment. 1st ed. Wiley-Blackwell, Oxford; 2004.
  46. Smith SH, Geer JC. Morphology of saphenous vein-coronary artery bypass grafts: Seven to 116 months after surgery. Arch Pathol Lab Med. 1983;107(1):13-18.
  47. Mungadi IA. Refinement on surgical technique: role of magnification. J Surg Tech Case Rep. 2010;2(1):1-2. https://doi.org/10.4103/2006-8808.63705
  48. Rooks MD, Slappey J, Zusmanis K. Precision of suture placement with microscope- and loupe-assisted anastomoses. Microsurgery. 1993;14(8):547-550. https://doi.org/10.1002/micr.1920140813
  49. Gloviczki P, Bower TC, Toomey BJ et al. Microscope-aided pedal bypass is an effective and low-risk operation to salvage the ischemic foot. Am J Surg. 1994;168(2):76-84. https://doi.org/10.1016/s0002-9610(94)80040-5
  50. Pieptu D, Luchian S. Loupes-only microsurgery. Microsurgery. 2003;23(3):181-188. https://doi.org/10.1002/micr.10126
  51. Ross DA, Ariyan S, Restifo R, Sasaki CT. Use of the operating microscope and loupes for head and neck free microvascular tissue transfer: a retrospective comparison. Arch Otolaryngol Head Neck Surg. 2003;129(2):189-193. https://doi.org/10.1001/archotol.129.2.189
  52. Hoerenz P. Magnification: loupes and the operating microscope. Clin Obstet Gynecol. 1980;23(4):1151-1162. https://doi.org/10.1097/00003081-198012000-00021
  53. Andrades P, Benítez S, Danilla S, Erazo C, Hasbun A, Fix J. Vascular Diameter Determining the Magnification for a Microvascular Anastomosis. J Reconstr Microsurg. 2008;24(3):177-181. https://doi.org/10.1055/s-2008-1076084
  54. Serletti JM, Deuber MA, Guidera PM, et al. Comparison of the operating microscope and loupes for free microvascular tissue transfer. Plast Reconstr Surg. 1995;95(2):270-276. https://doi.org/10.1097/00006534-199502000-00006
  55. Stanbury SJ, Elfar J. The use of surgical loupes in microsurgery. J Hand Surg Am. 2011;36(1):154-156. https://doi.org/10.1016/j.jhsa.2010.09.016
  56. Semchenko AN, Bondar VYu, Kuznetsov AN, Filatov VV. Coronary artery bypass grafting with usage of microvascular technique and operating microscope: experience of the first 100 procedures. Dal’nevostochnyi meditsinskii zhurnal. 2017;4:22-36. (In Russ.)

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