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Semchenko A.N.

FGBU "Federal'nyĭ tsentr serdechno-sosudistoĭ khirurgii", Khabarovsk

Microsurgical technique in coronary bypass surgery: possibilities, perspectives and limitations

Authors:

Semchenko A.N.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2019;(6): 80‑87

DOI: 10.17116/hirurgia201906180

Views: 1559

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To cite this article:

Semchenko AN. Microsurgical technique in coronary bypass surgery: possibilities, perspectives and limitations. Pirogov Russian Journal of Surgery. 2019;(6):80‑87. (In Russ.)
https://doi.org/10.17116/hirurgia201906180

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Microsurgical approach implies a special technique of operation under operating microscope with the use of special tools and ultra-thin atraumatic sutures. This method may be used in coronary artery bypass surgery in order to improve conventional technique, its quality and outcomes. The report summarizes information about technical features, capabilities and results of microsurgical coronary artery bypass grafting. The problem of popularizing microsurgical technologies in coronary bypass surgery is also discussed.

Keywords:

coronary artery bypass grafting
microsurgical technique
operating microscope

Authors:

Semchenko A.N.

FGBU "Federal'nyĭ tsentr serdechno-sosudistoĭ khirurgii", Khabarovsk

List of references:

  1. Abalmasov KG, Morozov KM, Abalmasov PK. Microsurgery nowadays. Tikhookeanskii meditsinskii zhurnal. 2003;1:34-38. (In Russ.)
  2. Milanov NO. Microsurgery in the country. Thirty years of the way (official lecture). Voprosy rekonstruktivnoi i plasticheskoi khirurgii. 2011;14(1):23-32. (In Russ.)
  3. Green GE. Internal mammary artery-to-coronary artery anastomosis. Three-year experience with 165 patients. Annals of thoracic surgery. 1972;14(3):260-271.
  4. Loop FD, Spampinato N, Siegel W, Effler DB. Internal mammary artery grafts without optical assistance. Clinical and angiographic analysis of 175 consecutive cases. Circulation. 1973;48(1 Suppl):III162-III167.
  5. Suzuki A, Kay EB, Hardy JD. Direct anastomosis of the bilateral internal mammary artery to the distal coronary artery, without a magnifier, for severe diffuse coronary atherosclerosis. Circulation. 1973;48(1 Suppl):III190-III197.
  6. Spencer FC. Binocular loop (microtelescopes) for coronary artery surgery. Journal of thoracic and cardiovascular surgery. 1971;62(1):163-164.
  7. Jacobson JH, Suarez EL. Microsurgery in anastomosis of small vessels. Surgical Forum. 1960;11:243-245.
  8. Kleinert HE, Kasdan ML. Anastomosis of digital vessels. Journal of the Kentucky medical association. 1965;63:106-108.
  9. Tsai TM, Breyer JM, Panattoni JB. History of microsurgery: curiosities from the sixties and seventies. Microsurgery. 2013;33(2):85-89. https://doi.org/10.1002/micr.22066
  10. Green GE, Stertzer SH, Reppert EH. Coronary arterial bypass grafts. Annals of thoracic surgery. 1968;5:443-450.
  11. Jairaj PS, O’Brien BM, Richardson JP, Clarebrough JK, Bennett RC. The experimental application of microsurgical techniques to internal mammary to coronary artery anastomosis. Australian and New Zealand Journal of Surgery. 1972;41(4):379-383. https://doi.org/10.1111/j.1445-2197.1969.tb06552.x
  12. Loisance D. Aorto-coronary venous bypass. The value of microsurgical techniques. Nouvelle presse médicale. 1979;8(29):2413-2415.
  13. Katsumoto K. Clinical experience of coronary artery bypass grafting using surgical microscope. Kyobu Geka. 1996;49(3):182-186.
  14. Baitinger VF. Istoriya stanovleniya mikrososudistoi khirurgii v SSSR. Voprosy rekonstruktivnoi i plasticheskoi khirurgii. 2009;1(28):70-75. (In Russ.)
  15. Akchurin RS,Vasilyev VP, Galyautdinov DM, Korolev SV, Lepilin MG, Partigulov SA, Shiryaev AA. Modern coronary surgery. Kardiologicheskii vestnik. 2010;5(1):45-49. (In Russ.)
  16. Akchurin RS, Shiryaev AA. Mikrokhirurgiya koronarnykh arterii: rukovodstvo. M.: GEOTAR-Media, 2012. (In Russ.)
  17. 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
  18. Lysenko AV, Lednev PV, Salagaev GI, Belov YuV. The results of coronary artery bypass grafting by using of surgical microscope. Khirurgiya. Zhurnal im. NI Pirogova. 2018;(7):18-22. (In Russ.) https://doi.org/10.17116/hirurgia2018718
  19. Shiryaev AA. Microvascular technique in coronary surgery. Kardiologiya. 2005;(3):58. (In Russ.)
  20. Akchurin RS, Shiriaev AA, Galiautdinov DM, Vasil’ev VP, Dotsenko YuV, Vlasova ÉE, Cherkashin DI. Effectiveness of coronary surgery: results of 20 years observation. Kardiologiya i serdechno-sosudistaya khirurgiya. 2014;7(1):10-14. (In Russ.)
  21. Semchenko AN, Breev DV, Yavniy VYa. Simultaneous bilateral aortic-carotid replacement and coronary artery bypass grafting by using of microvascular technique and surgical microscope. Kardiologiya i serdechno-sosudistaya khirurgiya. 2018;11(4):88-92. (In Russ.) https://doi.org/10.17116/kardio201811488
  22. 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;1:22-26. (In Russ.)
  23. Servant JM, Ikuta Y, Harada Y. A scanning electron microscope study of microvascular anastomoses. Plastic and reconstructive surgery. 1976;57(3):329-334.
  24. Baxter TJ, O’Brien BM, Henderson PN, Bennett RC. The histopathology of small vessels following microvascular repair. British Journal of Surgery. 1972;59(8):617-622.
  25. Guity A, Young PH, Fischer VW. In search of the «perfect» anastomosis. Microsurgery. 1990;11(1):5-11. https://doi.org/10.1002/micr.1920110104
  26. Bockeria LA, Sheripova EK. The influence of technical peculiarities of performance of the coronary artery bypass surgery on the blood flow rate in anastomoses according to the intraoperative shuntofraphy. Byulleten’ NTsSSKh im. AN Bakuleva RAMN «Serdechno-sosudistye zabolevaniya». 2013;14(4):5-12. (In Russ.)
  27. Hayhurst JW, O’Brien BM. An experimental study of microvascular technique, patency rates and related factors. British journal of plastic surgery. 1975;28(2):128-132.
  28. Bockeriya LA, Alekyan BG, Sargsyan AZ. Endovascular treatment of patients with non-shunting coronary bed. Grudnaya i serdechno-sosudistaya khirurgiya. 2013;6:19-25. (In Russ.)
  29. Mukherjee D, Bhatt DL, Roe MT, Patel V, Ellis SG. Direct myocardial revascularization and angiogenesis-how many patients might be eligible? American journal of cardiology.1999;84(5):598-600.
  30. Kandzari DE, Lam LC, Eisenstein EL, Clapp-Channing N, Fine JT, Califf RM, Mark DB, Jollis JG. Advanced coronary artery disease: Appropriate end points for trials of novel therapies. American heart journal. 2001;142(5):843-851.
  31. Sumin AN, Korok EV, Gayfullin RA, Ivanov SV, Barbarash OL. The influence of gender on the immediate results of coronary bypass surgery. Annaly khirurgii. 2014;0(6):31-37. (In Russ.)
  32. Hessian R, Jabagi H, Ngu JMC, Rubens FD. Coronary Surgery in Women and the challenges we face. Canadian journal of cardiology. 2018;34(4):413-421. https://doi.org/10.1016/j.cjca.2018.01.087
  33. Dodge JTJr, Brown BG, Bolson EL, Dodge HT. Lumen diameter of normal human coronary arteries. Circulation. 1992;86(1):232-246.
  34. Kim SG, Apple S, Mintz GS, McMillan T, Caños DA, Maehara A, Weissman NJ. The importance of gender on coronary artery size: in-vivo assessment by intravascular ultrasound. Clinical cardiology. 2004;27(5):291-294.
  35. Saldanha RF, Raman J, Batreddi RV, Chang VP. Coronary artery surgery in Asian patients. Journal of cardiovascular surgery (Torino). 1990;31(1):26-30.
  36. El Oakley RM, Lee CN, Ooi OC. Anastomosis of small arteries: implications for coronary artery grafts in Asians. Asian cardiovascular and thoracic annals. 2006;14(2):164-165. https://doi.org/10.1177/021849230601400219
  37. Fitzgibbon GM, Kafka HP, Leach AJ, Keon WJ, Hooper GD, Burton JR. Coronary bypass graft fate and patient outcome: angiographic follow-up of 5,065 grafts related to survival and reoperation in 1,388 patients during 25 years. Journal of the American college of cardiology. 1996;28(3):616-626.
  38. Akiyama K. Evaluation of the coronary artery bypass graft. Annals of thoracic and cardiovascular surgery. 2005;11(2):65-66.
  39. Balacumaraswami L, Taggart DP. Intraoperative imaging techniques to assess coronary artery bypass graft patency. Annals of thoracic surgery. 2007;83(6):2251-2257. https://doi.org/10.1016/j.athoracsur.2006.12.025
  40. Badr S, Dvir D, Waksman R. Distal anastomotic lesions after coronary artery bypass surgery: incidence, pathogenesis, and treatment approach. Catheterization and cardiovascular interventions. 2013;81(7):1162-1168. https://doi.org/10.1002/ccd.24582
  41. Aydin U, Aydin N, Gorur A, Findik O, Duzyol C, Yilmaz M, Orhan AL, Kocogullari CU. Cineangiographic intraoperative evaluation of venous grafts during coronary bypass surgery. Journal of cardiac surgery. 2013;28(3):258-261. https://doi.org/10.1111/jocs.12084
  42. Bockeriya LA, Alekyan BG, Chigogidze NA, Zakaryan NV, Staferov AV, Petrosyan KV, Abrosimov AV, Magomedov AA. The importance of intraoperative angiography in surgical myocardical revascularization. Annaly khirurgii. 2015;2:16-23. (In Russ.)
  43. Farooq V, Serruys PW, Garcia-Garcia HM, Zhang Y, Bourantas CV, Holmes DR, Mack M, Feldman T, Morice MC, Ståhle E, James S, Colombo A, Diletti R, Papafaklis MI, de Vries T, Morel MA, van Es GA, Mohr FW, Dawkins KD, Kappetein AP, Sianos G, Boersma E. The negative impact of incomplete angiographic revascularization on clinical outcomes and its association with total occlusions: the SYNTAX (Synergy Between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery) trial. Journal of the American college of cardiology. 2013;61(3):282-294. https://doi.org/10.1016/j.jacc.2012.10.017
  44. Akchurin RS, Shiryaev AA, Vlasova EE, Vasil’ev VP, Galyautdinov DM. Khirurgicheskoe lechenie IBS. Russkii meditsinskii zhurnal. 2014;22(30):2152-2157. (In Russ.)
  45. Rittgers SE, Karayannacos PE, Guy JF, et al. Velocity distribution and intimal proliferation in autologous vein grafts in dogs. Circulation research. 1978;42(6):792-801.
  46. Cameron AA, Green GE, Brogno DA, Thornton J. Internal thoracic artery grafts: 20-year clinical follow-up. Journal of the American college of cardiology. 1995;25(1):188-192.
  47. Green GE, Cameron A, Goyal A, Wong SC, Schwanede J. Five-year follow-up of microsurgical multiple internal thoracic artery grafts. Annals of thoracic surgery. 1994;58(1):74-79.
  48. 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
  49. Pastuszak AW, Wenker EP, Lipshultz LI. The history of microsurgery in urology. Urology. 2015;85(5):971-975. https://doi.org/10.1016/j.urology.2014.12.059
  50. Semchenko AN, Sadykov AA. Individual learning curves for microsurgical myocardial revascularization. Khirurgiya. Zhurnal im. N.I. Pirogova. 2017;(4):11-18. (In Russ.) https://doi.org/10.17116/hirurgia2017411-18
  51. Campeau L, Enjalbert M, Lespérance J, Vaislic C, Grondin CM, Bourassa MG. Atherosclerosis and late closure of aortocoronary saphenous vein grafts: sequential angiographic studies at 2 weeks, 1 year, 5 to 7 years, and 10 to 12 years after surgery. Circulation. 1983;68(3 Pt 2): II1-II7.
  52. Lytle BW, Loop FD, Cosgrove DM, Ratliff NB, Easley K, Taylor PC. Long-term (5 to 12 years) serial studies of internal mammary artery and saphenous vein coronary bypass grafts. Journal of thoracic and cardiovascular surgery. 1985;89(2):248-258.
  53. Neumann FJ, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U, Byrne RA, Collet JP, Falk V, Head SJ, Jüni P, Kastrati A, Koller A, Kristensen SD, Niebauer J, Richter DJ, Seferovic PM, Sibbing D, Stefanini GG, Windecker S, Yadav R, Zembala M.O.2018 ESC/EACTS Guidelines on myocardial revascularization. European heart journal. 2018;00:1-96. https://doi.org/10.1093/eurheartj/ehy394
  54. Al-Hijji M, El Sabbagh A, Holmes DR. Revascularization for left main and multivessel coronary artery disease: current status and future prospects after the EXCEL and NOBLE trials. Korean circulation journal. 2018;48(6):447-462. https://doi.org/10.4070/kcj.2018.0078

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