ENDARTERECTOMY AND RECONSTRUCTION OF THE LEFT ANTERIOR DESCENDING ARTERY: IMMEDIATE AND LONG-TERM RESULTS
https://doi.org/10.24884/0042-4625-2014-173-4-16-21
Abstract
An analysis of the results of treatment of 149 patients was made. The revasculization of the myocardium and the endarterectomy using the left anterior descending artery were carried out in these patients at the period from 2003 to 2010. The middle age was 59,5±8,4 years. The exertional angina of the III-IV functional class was noted in 76% of the patients and 72% of patients had the myocardial infarction in anamneses. The follow-up study included 127 operated patients. The mean follow-up period was 43,3±23,9 months (maximal period - 8,5 years). The hospital lethality consisted of 2,7%. The survival rate was 89,3% in a long-term period. The cineangiography was performed on 52 patients in mean terms 50,2±22,9 months. A patency of arterial grafts was 51(98,1%), the patency of venous grafts - 77(93,9%). The signs of involution of the venous grafts were in 3(3,7%).
About the Authors
A. P. Bogdan
Kuban State Medical University; Krai clinical hospital № 1 named after S. V. Ochapovskiy
Russian Federation
Russian Federation
S. A. Belash
Kuban State Medical University; Krai clinical hospital № 1 named after S. V. Ochapovskiy
Russian Federation
Russian Federation
K. O. Barbukhatty
Kuban State Medical University; Krai clinical hospital № 1 named after S. V. Ochapovskiy
Russian Federation
Russian Federation
References
1. Акчурин Р. С., Бранд Я. Б., Барскова Т. Ю. Оценка эффективности эндартерэктомии из коронарных артерии // Хирургия. 2003. № 10. С. 21-24.
2. Плечев В. В., Юнусов В. М., Ижбульдин Р. И., Кислицын А. Н. Профилактика периоперационных осложнений после коронарного шунтирования в сочетании с эндартерэктомией из венечных артерий // Креативная хир. и онкол. 2012. № 2. С. 42-45.
3. Шнейдер Ю. А., Красиков А. В., Лесбеков Т. Д. и др. Варианты реконструкций венечных артерий сердца после эндартерэктомии // Вестн. хир. 2006. № 5. С. 17-20.
4. Binsalamah Z. M., Al-Sarraf N., Chaturvedi R. K. Mid-term outcome and angiographic follow-up of endarterectomy of the left anterior descending artery in patients undergoing coronary artery bypass surgery // J. Card. Surg. 2013. P. 1-7. doi: 10.1111/jocs.12230.
5. Ferraris V.A., Harrah J. D., Moritz D. M. et al. Long-term angiographic results of coronary endarterectomy // Ann. Thorac. Surg. 2000. Vol. 69. P. 1737-1743.
6. Keon W. J., Masters R. G., Koshal A. et al. Coronary endarterectomy. An adjunct to coronary artery bypass grafting // Surg. Clin. North. Am. 1988. Vol. 68. P. 669-678.
7. Marinelli G., Chiappini B., Di Eusanio M. et al. Bypass grafting with coronary endarterectomy: immediate and long-term results // J. Thorac. Cardiovasc. Surg. 2002. Vol. 124. P. 553-560.
8. Myers P. O., Tabata M., Shekar P. et al. Extensive endarterectomy and reconstruction of the left anterior descending artery: early and late outcomes // J. Thorac. Cardiovasc. Surg. 2012. Vol. 143, № 6. Р. 1336-1340.
9. Shahian D. M., O’Brien S. M., Filardo G. et al. Society of Thoracic Surgeons Quality Measurement Task Force. The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 1 - coronary artery bypass grafting surgery // Ann. Thorac. Surg. 2009. Vol. 88 (S1). P. 2-22.
10. Takahashi M., Gohil S., Tong B. et al. Early and mid-term results of off-pump endarterectomy of the left anterior descending artery // Interact. Cardio. Vasc. Thorac. Surg. 2012. P. 1-5. doi:10.1093/ icvts/ivs482.
11. Uchimuroa T., Fukuib T., Miharaa W., Takanashi S. Acute thrombosis after endarterectomy of stented left anterior descending artery // Interact. Cardio. Vasc. Thorac. Surg. 2008. doi:10.1510/ icvts.2008.201194.
12. Walley V. M., Byard R. W., Keon W. J. A study of the sequential morphologic changes after manual coronary endarterectomy // J. Thorac. Cardiovasc. Surg. 1991. Vol. 102. P. 890-894.
Review
For citations:
Bogdan A.P., Belash S.A., Barbukhatty K.O. ENDARTERECTOMY AND RECONSTRUCTION OF THE LEFT ANTERIOR DESCENDING ARTERY: IMMEDIATE AND LONG-TERM RESULTS. Grekov's Bulletin of Surgery. 2014;173(4):16-21. (In Russ.) https://doi.org/10.24884/0042-4625-2014-173-4-16-21
Views:
373
Email this article 