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
Jazyk: angličtina
Rok vydání: 2003
Předmět:
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