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Related Experiment Videos

[Internal thoracic artery in coronary surgery].

L V Lebedev, A G Vinogradov, V I Khnykina

    Vestnik Khirurgii Imeni I. I. Grekova
    |February 1, 1990
    PubMed
    Summary

    The internal thoracic artery is effective for coronary artery bypass grafting, showing higher patency rates for shunts compared to arterial-coronary shunts (ACSh). This surgical approach offers significant long-term benefits for ischemic heart disease patients.

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    [ABCA1 gene expression in peripheral blood lymphocytes and macrophages in patients with atherosclerosis].

    Molekuliarnaia biologiia·2011

    Area of Science:

    • Cardiovascular Surgery
    • Cardiac Surgery
    • Vascular Surgery

    Context:

    • Ischemic heart disease management
    • Coronary artery bypass grafting (CABG) techniques
    • Historical use of internal thoracic artery (ITA) in cardiac surgery since 1964

    Purpose:

    • To evaluate the long-term effectiveness and patency rates of internal thoracic artery (ITA) for mammary-coronary shunts.
    • To compare the outcomes of ITA mammary-coronary shunts with arterial-coronary shunts (ACSh).

    Summary:

    • A retrospective analysis of 257 operations involving mammary-coronary shunts and anastomosis (V. I. Kolesov technique) was conducted.
    • Long-term follow-up included angiographic examinations in 109 patients up to 12 years post-surgery.
    • Internal thoracic artery (ITA) shunts demonstrated a superior patency rate of 83.5% compared to arterial-coronary shunts (ACSh) at approximately 63%.

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    Impact:

    • Highlights the significant long-term efficacy of using the internal thoracic artery for coronary artery bypass.
    • Provides evidence supporting ITA as a preferred conduit for improving coronary blood flow in ischemic heart disease.
    • Contributes to the understanding of surgical outcomes in myocardial revascularization.