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Lysenko A.V.

Pervyĭ MGMU im. I.M. Sechenova;
Moskovskiĭ NII pediatrii i detskoĭ khirurgii

Salagaev G.I.

Chair of Cardiovascular Surgery and Interventional Cardiology, I.M. Sechenov First Moscow State Medical University (head — MD R.N. Komarov), acad. B.V. Petrovsky Russian Research Center for Surgery (director — acad. of RAS Yu.V. Belov), Moscow, Russia

Lednev P.V.

Otdelenie kardiokhirurgii kliniki aortal'noĭ i serdechno-sosudistoĭ khirurgii Pervogo MGMU im. I.M. Sechenova

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

The results of coronary artery bypass grafting by using of surgical microscope

Authors:

Lysenko A.V., Salagaev G.I., Lednev P.V., Belov Yu.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2019;(6): 5‑10

DOI: 10.17116/hirurgia20190615

Read: 834 times

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Table of contents

THE RESULTS OF CORONARY ARTERY BYPASS GRAFTING BY USING OF SURGICAL MICROSCOPE
THE RESULTS OF CORONARY ARTERY BYPASS GRAFTING BY USING OF SURGICAL MICROSCOPE

To cite this article:

Lysenko AV, Salagaev GI, Lednev PV, Belov YuV. The results of coronary artery bypass grafting by using of surgical microscope. Pirogov Russian Journal of Surgery. 2019;(6):5‑10. (In Russ.)
https://doi.org/10.17116/hirurgia20190615

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
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Abstract:

Objective. To analyze own experience of coronary artery bypass grafting (CABG) using microsurgical technique and operating microscope. Material and methods. There were 100 patients with coronary artery disease who underwent CABG in the Petrovsky Russian Research Center for Surgery for the period from April 2017 to December 2018. Mean age of patients was 59.7 ± 8.9 years. Triple-vessel disease was noted in 83 (83%) patients, two-vessel — in 17 (17%) patients. Stenosis of left main coronary artery was observed in 34 (34%) patients. On-pump myocardial revascularization using microsurgical technique was performed in all patients. Results. A total of 360 distal anastomoses with coronary arteries were formed in 100 patients using surgical microscope. Revascularization index was 3.6 ± 0.8, mean CPB time — 104 ± 24 min, aoric cross-clamping time — 72 ± 16 min. In-hospital mortality was absent. There were no cases of resternotomy for bleeding, infectious complications of postoperative wounds. One (1%) patient had intraoperative myocardial infarction. Conclusion. CABG using microsurgical technique and operating microscope may be appropriate in patients with multiple-vessel coronary lesion and small diameter of coronary arteries.

Keywords:

coronary artery disease
coronary artery bypass grafting
microsurgical technique
surgical microscope
revascularization index

Authors:

Lysenko A.V.

Pervyĭ MGMU im. I.M. Sechenova;
Moskovskiĭ NII pediatrii i detskoĭ khirurgii

Salagaev G.I.

Chair of Cardiovascular Surgery and Interventional Cardiology, I.M. Sechenov First Moscow State Medical University (head — MD R.N. Komarov), acad. B.V. Petrovsky Russian Research Center for Surgery (director — acad. of RAS Yu.V. Belov), Moscow, Russia

Lednev P.V.

Otdelenie kardiokhirurgii kliniki aortal'noĭ i serdechno-sosudistoĭ khirurgii Pervogo MGMU im. I.M. Sechenova

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Close metadata

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