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[Total arterial myocardial revascularization: surgical technique and mid-term results]
F Nicolini1, B Borrello, A Budillon
1Divisione e Cattedra di Cardiochirurgia, Università degli Studi di Parma. francesco.nicolini@unipr.it
Insights
Total arterial coronary revascularization is a safe surgical technique. This study shows excellent perioperative and mid-term results with low complication rates for patients undergoing this procedure.
Area of Science:
- Cardiovascular Surgery
- Surgical Outcomes
- Arterial Grafting
Context:
- Coronary artery disease management
- Surgical revascularization techniques
- Evaluation of arterial grafts in cardiac surgery
Purpose:
- To evaluate perioperative and mid-term safety and outcomes of total arterial coronary revascularization.
- To establish the safety profile of total arterial coronary revascularization.
- To assess the efficacy of arterial grafts in coronary artery bypass surgery.
Summary:
- 191 patients underwent total arterial coronary revascularization between 1997 and 2000.
- Mean follow-up was 899 days, with 1% in-hospital mortality and low complication rates.
- Excellent mid-term results showed patients free of angina, demonstrating the procedure's effectiveness.
Impact:
- Total arterial coronary revascularization is confirmed as a safe and effective surgical option.
- Provides excellent perioperative and mid-term results for coronary artery disease patients.
- Highlights the long-term benefits of arterial grafting in cardiac surgery.
Abstract:
The purpose of this study is to evaluate perioperative and mid-term results of total arterial coronary revascularization in our experience and to establish its safety. One-hundred and ninety-one patients underwent total arterial coronary revascularization at our Institution from February 1997 to August 2000. The mean age was 60.1 years. Of the patients, 45% had three coronary vessels disease, 12% a left main coronary artery disease and 2.6% of them were classified urgent. Mean ejection fraction was 59.6%. Three hundred and thirty-four comprehensive anastomoses were performed; mean grafts per patient was 1.8. A Y or T graft with the left internal thoracic artery was used in 21 patients. The in-hospital mortality rate was 1% (2 patients). Complications included low cardiac output syndrome in 2.8% of patients, acute myocardial infarction in 0.9% and acute renal insufficiency in 3.1%. Intraaortic balloon pump was used in 1.8% of patients. At a mean follow-up of 899 days the first 81 patients contacted are all free of angina but two (one experienced an acute myocardial infarction and another one died for a pulmonary neoplasia). We conclude that total arterial coronary revascularization is a safe surgical technique, providing excellent perioperative and mid-term results.