Total arterial revascularisation as a primary strategy for coronary artery bypass grafting
Autor: | Madhava J. Naik, David P. Taggart, Yasir Abu-Omar, J C Forfar, A Alvi, N Wright, Keith M. Channon, Alastair Henderson |
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Jazyk: | angličtina |
Rok vydání: | 2003 |
Předmět: |
Male
medicine.medical_specialty Internal thoracic artery Postoperative Complications Thoracic Arteries medicine.artery Internal medicine Surgical Wound Dehiscence medicine Humans Derivation cardiovascular diseases Radial artery Coronary Artery Bypass Stroke Survival rate Aged Interventional cardiology business.industry General Medicine Length of Stay Middle Aged medicine.disease Surgery Survival Rate medicine.anatomical_structure surgical procedures operative Treatment Outcome Cardiothoracic surgery Radial Artery Cardiology Feasibility Studies Original Article Female business Artery Follow-Up Studies |
Popis: | Background Bilateral internal thoracic arteries confer improved survival benefit after coronary artery bypass grafting (CABG). Despite increasing evidence, the use of arterial conduits has not been accepted as a primary practice in most of the centres in the UK for various reasons. A series of patients has been analysed to assess the feasibility of total arterial revascularisation as a primary strategy in patients requiring first time CABG. Methods Altogether 245 patients undergoing first time CABG by one surgeon, from June 1999 to October 2000, were studied. Group 1 consisted of 165 patients undergoing total arterial revascularisation (using bilateral internal thoracic and radial arteries) and group 2 consisted of 80 patients undergoing conventional CABG (using one internal thoracic artery and supplemental veins). Thirty day mortality and early morbidity with particular reference to resternotomy for bleeding, cerebrovascular accidents, renal failure, and sternal dehiscence were the main outcome measures. Results Patients in group 1 were younger (mean (SD) 60 (10) v 65 (9) years; p Conclusion Total arterial revascularisation can be adopted as a primary strategy in most patients undergoing CABG with no increase in mortality or morbidity. |
Databáze: | OpenAIRE |
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