Use of arterial grafts during off-pump coronary artery bypass grafting
https://doi.org/10.18705/1607-419X-2009-15-2-166-169
Abstract
The effect of coronary artery bypass grafting (CABG) lasts as long as the grafts are patent. Between January 2002 and September 2008 a total of 231 patients underwent CABG in Almazov Federal heart, blood and endocrinology centre. They were divided in two groups. The first group (n = 117) underwent off-pump coronary artery bypass grafting (OPCAB), patients of the second group (n = 120) underwent on-pump CABG with crystalloid cardioplegia. Complete revascularization using arterial grafts (internal thoracic arteries, radial arteries) and saphenous vein grafts was performed in all patients. The purpose of this research is to show the opportunity of successful OPCAB with arterial grafts. We conclude that the absence of anoxic period during OPCAB decrease the risk of myocardium damage. It allows avoiding complications, decreasing the time of artificial ventilation and stay in the intensive care unit. The use of arterial grafts during OPCAB is a perspective way.
About the Authors
D. I. Kartashev
Almazov Federal Heart, Blood and Endocrinology Centre
Russian Federation
Russian Federation
S. V. Lutinskiy
Almazov Federal Heart, Blood and Endocrinology Centre
Russian Federation
Russian Federation
A. V. Naimushin
Almazov Federal Heart, Blood and Endocrinology Centre
Russian Federation
Russian Federation
M. L. Gordeev
Almazov Federal Heart, Blood and Endocrinology Centre
Russian Federation
Russian Federation
References
1. Акчурин Р.С. Хирургическое лечение ИБС - история и современность. 50 лекций по хирургии / Под редакцией В.С. Савельева. - М.: Триада Х, 2004. - 752 с.
2.
3. Бокерия Л.А., Беришвили И.И., Сигаев И.Ю. Минимально инвазивная реваскуляризация миокарда. - М.: Издательство НЦССХ им. А.Н. Бакулева РАМН, 2001. - 276 с.
4.
5. Гордеев М.Л., Гневашев А.С., Барбухатти К.О., Новиков В.К. Методика выделения и подготовки лучевой артерии для прямой реваскуляризации миокарда // Вестн. хирургии им. И.И. Грекова. - 2000. - № 6. - С. 61- 64.
6.
7. Князев М.Д., Стрегайлов Р.А. Хирургическое лечение больных с ОИМ // Хирургия. - 1979. - № 1. - С. 12-18.
8.
9. Колесов В.И. Первый опыт лечения стенокардии наложения венечно-системных сосудистых соустьев // Кардиология. - 1967. - № 4. - С. 20-25.
10.
11. Чуркин Ю.В. "Артериализация" венозного трансплантата. // Хирургия. - 1980. - № 10. - С. 124-126.
12.
13. Carpentier A., Guermonprez J.Z., Deloche A. et al. The aorto-to-coronary radial artery bypass graft: a technique avoiding pathological changes in grafts // Ann. Thorac. Surg. - 1973. - Vol. 16. - P. 111-121.
14.
15. Carrel A. On the experimental surgery of the thoracic aorta and heart // Am. J. Surg. - 1910. - Vol. 52. - P. 83-95.
16.
Review
For citations:
Kartashev D.I., Lutinskiy S.V., Naimushin A.V., Gordeev M.L. Use of arterial grafts during off-pump coronary artery bypass grafting. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2009;15(2):166-169. (In Russ.) https://doi.org/10.18705/1607-419X-2009-15-2-166-169
Views:
871
Email this article 