Minimally Invasive Coronary Bypass Grafting as a Standard Approach for Myocardial Revascularization
| Autor: | O. D. Babliak, V. M. Demianenko, D. Y. Babliak, A. I. Marchenko, E. A. Melnyk, O. S. Stohov |
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| Jazyk: | English<br />Russian<br />Ukrainian |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Український журнал серцево-судинної хірургії, Iss 2 (39), Pp 9-14 (2020) |
| Druh dokumentu: | article |
| ISSN: | 2664-5963 2664-5971 |
| DOI: | 10.30702/ujcvs/20.3905/012009-014 |
| Popis: | Background. Minimally invasive cardiac surgery is becoming more widespread. The aim of the study was to evaluate the outcomes in 343 consecutive patients with isolated multivessel coronary artery disease who underwent minimally invasive coronary revascularization. Materials and methods. From July 2017 to December 2019 we performed total coronary revascularization via left anterior minithoracotomy (TCRAT) in 343 consecutive patients with isolated multivessel coronary artery disease. In 83 (24.2%) of them we performed multiarterial revascularization using left internal mammary artery (LIMA) and T-shunt with left radial artery or right internal mammary artery (RIMA). Cardiopulmonary bypass (CPB), aortic cross-clamping and blood cardioplegia were used in all patients. The patients were divided into two groups, uniarterial and multiarterial, to compare and analyze perioperative parameters. Results. No cases of postoperative myocardial infarction, surgically induced infection, or conversion to sternotomy were observed in any of the study groups. Total perioperative mortality was 0.58% (2 patients). Total operation time (290.6±48 [205; 495] versus 259.4±53.3 [165; 590], p=0.0001) and aortic cross-clamping time (81.6±18.7 [40; 122] versus 67±18 [35; 146], p |
| Databáze: | Directory of Open Access Journals |
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