PREVENTION OF PERIOPERATIVE COMPLICATIONS AFTER CORONARY ARTERY BYPASS GRAFTING COMBINED WITH ENDARTERECTOMY OF THE CORONARY ARTERIES
https://doi.org/10.24060/2076-3093-2012-0-2-42-45
Abstract
The results of the search of possible ways to prevent early thrombotic complications after coronary bypass surgery (CABG) procedure in combination with coronary endarterectomy (CE). The control group included 76 patients retrospectively underwent CABG in combination with the EC, made by traditional methods. Study group comprised 126 patients who had CEA performed after treatment the deendotelisation surface of the coronary arteries heparin. A comparative clinical evaluation of the incidence of perioperative complications in these two groups of patients. The advantage of intracoronary administration of heparin after CEA, which significantly reduces the risk of early thrombosis of endarterectomy zone, which lead to severe complications perioperative period. Any hemorrhagic complications associated with intravascular administration of heparin were observed.
About the Authors
V. V. PlechevRussian Federation
Hospital Surgery Chair
V. M. Yunusov
Russian Federation
Hospital Surgery Chair BSMU
R. I. Izhbuldin
Russian Federation
Ufa
A. N. Kislicin
Russian Federation
Ufa
References
1. Акчурин Р.С., Бранд Я.Б., Барскова Т.Ю. и др. Оценка эффективности эндартерэктомии из коронарных артерий при выполнении операций прямой реваскуляризации миокарда // Хирургия. 2003. № 12. С. 21.
2. Акчурин Р.С., Ширяев А.А. Актуальные вопросы коронарной хирургии. – М.: ГЭОТАР-Медиа, 2004. 86 с.
3. Акчурин Р.С., Ширяев А.А., Галяутдинов Д.М. и др. Реваскуляризация зоны постинфарктного кардиосклероза, ее результаты // Материалы 6-го Всероссийского съезда сердечно-сосудистых хирургов. – М., 2000. – С. 56.
4. Беленков Ю.А. Неинвазивные методы диагностики ишемической болезни сердца // Кардиология. – 1996. №1. – С. 4-11.
5. Бокерия Л.А., Гудкова Р.Г. Сердечно-сосудистая хирургия – 2009. Болезни и врожденные аномалии системы кровообращения. – М.: НЦССХ им. А.Н.Бакулева РАМН, 2008. – 162 с.
6. Бранд Я.Б., Долгов И.М., Мазанов М.Х. Результаты выполнения пластики коронарных артерий после открытой и комбинированной эндартерэктомии у пациентов с тяжелыми формами ишемической болезни сердца // Кардиол. Серд.сосуд.хир. 2010. № 2. – Т.12. – С. 12 – 15.
7. Вихерт А.М., Чазов Е.И. Патогенез инфаркта миокарда // Кардиология. – 1971. №10. – С. 26 32.
8. Сидоренко Б.А. Хроническая ишемическая болезнь сердца // Болезни сердца и сосудов: Руководство для врачей: в 4 т. / Под ред. Е.И.Чазова. – М.: Медицина, 1992. – Т. 2. – С. 5 52.
9. Шнейдер Ю.А., Красиков А.В., Лесбеков Т.Д. и др. Варианты реконструкций венечных артерий сердца после эндартерэктомии // Вестник хирургии им. И.И. Грекова. 2006.№5. С. 17-20.
10. Шнейдер Ю.А., Лесбеков Т.Д., Кузнецов К.В. Место эндартерэктомии в коронарной хирургии // Вестник хирургии им. И.И. Грекова. – 2005. № 4.С.105 108.
11. Atik F.A., Dallan L.A., de Oliveira S.A. et al. Myocardial revascularization with coronary endarterectomy. Stratification of risk factors for early mortality // Arq. Bras. Cardiol. – 2000. – Vol. 75. – P. 269-280.
12. Bailey C.P., May A., Lemmon W.M. Survival after coronary endarterectomy in man // JAMA. – 1957. Vol. 164. – P. 641-646.
13. Bell M.R., Gersh B.J., Schaff H.V. et al. Effect of completeness of revascularization on long-term outcome of patients with three-vessel disease undergoing coronary artery bypass surgery. A report from the Coronary Artery Surgery Study (CASS) // Registry Circulation. – 1992. – Vol. 86. P. 446-457.
14. Cooley D., Duncan J. Coronary bypass surgery: the total experience at Texas Heart Institute // Clinical Essays on the Heart / Ed. J. Hurst. – N. Y.: Mc Crowhill, 1984. – Vol. 2. – P. 207.
15. Cukingnan R.A., Carey J.S., Wittig J.H. et al. Influence of complete coronary revascularization on relief of angina // J. Thorac. Cardiovasc. Surg. 1980. – Vol. 79. P. 188-193.
16. Halim M., Qureshi S., Towers M. et al. Early and late results of combined endarterectomy and coronary bypass grafting for diffuse coronary disease // Am. J. Cardiol. – 1982. – Vol. 49. №24. – P. 743.
17. Jones E.L., Craver J.M., Guyton R.A. et al. Importance of complete revascularization in performance of the coronary bypass operation // Am. J. Cardiol. – 1983. – Vol. 51. – P. 7-12.
18. Jones E.L., Weintraub W.S. The importance of completeness of revascularization during long-term follow-up after coronary artery operations // J. Thorac. Cardiovasc. Surg. 1996. – Vol. 112. – P. 227-237.
19. Keon W., Akyurekli Y., Bedard P. et al. Coronary endarterectomy: an adjunct to coronary artery bypass grafting // Surgery. – 1979. – Vol. 86. №5. – P. 859.
20. Livesay J.J., Cooley D.A., Hallman G.L. et al. Early and late results of coronary endarterectomy. Analysis of 3,369 patients // J. Thorac. Cardiovasc. Surg. – 1986. – Vol. 92. – P. 649-660.
21. Minale C., Nikol S., Zander M. et al. Controversial aspects of coronary endarterectomy // Ann. Thorac. Surg. – 1989. Vol. 48. P.235-241.
22. Qureshi S.A., Halim M.A., Pillai R. et al. Endarterectomy of the left coronary system. Analysis of a 10 year experience // J. Thorac. Cardiovasc. Surg. – 1985. – Vol. 89. – P. 852-859.
23. Ravindranath Tiruvoipati, Mahmoud Loubani, Mauro Lencioni et al. Coronary Endarterectomy: Impact on morbidity and mortality when combined with coronary artery bypass surgery // Ann. Thorac. Surg. 2005. – Vol. 79. – P. 1999-2003.
24. Singhal A.K., Sundt T.M. III. Coronary endarterectomy: the choice of tactics is dictated by the lay of land (letter) // Ann. Thorac. Surg. – 2006. – Vol. 81. – Vol. 3. P. 1178 1179.
Review
For citations:
Plechev V.V., Yunusov V.M., Izhbuldin R.I., Kislicin A.N. PREVENTION OF PERIOPERATIVE COMPLICATIONS AFTER CORONARY ARTERY BYPASS GRAFTING COMBINED WITH ENDARTERECTOMY OF THE CORONARY ARTERIES. Creative surgery and oncology. 2012;(2):42-45. (In Russ.) https://doi.org/10.24060/2076-3093-2012-0-2-42-45