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Coronary endarterectomy: The current state of knowledge

Antonio Stavrou1, Vasileios Gkiousias1, Katerina Kyprianou2

  • 1School of Medicine, Cardiff University, University Hospital of Wales, Heath Park Campus, Cardiff, CF 14 4XW, United Kingdom.

Atherosclerosis
|April 17, 2016
PubMed

Insights

Coronary artery endarterectomy (CE) is a safe procedure for select patients with diffuse coronary artery disease (CAD) when combined with bypass grafting. Outcomes are acceptable, suggesting CE

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology

Background:

  • Coronary artery disease (CAD) affects millions globally.
  • Diffuse CAD poses surgical challenges.
  • Coronary artery endarterectomy (CE) is an adjunct procedure.

Purpose of the Study:

  • To assess the safety and outcomes of CE.
  • To evaluate complications associated with CE.
  • To determine the role of CE in managing complex CAD.

Main Methods:

  • Literature search conducted via PubMed.
  • Inclusion and exclusion criteria applied.
  • 50 relevant articles reviewed.

Main Results:

  • Mortality and morbidity rates were acceptable in selected patients.
  • Short- and long-term outcomes were evaluated.
  • CE demonstrated feasibility in complex cases.

Conclusions:

  • CE is a viable option for selected patients with diffuse CAD undergoing bypass grafting.
  • CE can be safely incorporated into surgical practice for complex CAD.
  • A multidisciplinary approach is recommended for CE consideration.

Keywords:
Cardiac surgeryCoronary artery bypass surgeryCoronary artery diseaseCoronary endarterectomyHeart teamPercutaneous coronary endarterectomy

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