Research Article
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Year 2020, Volume: 6 Issue: 3, 187 - 192, 04.05.2020
https://doi.org/10.18621/eurj.486547

Abstract

References

  • 1. Nishigawa K, Fukui T, Takanashi S. Coronary endarterectomy for the diffusely diseased coronary artery. Gen Thorac Cardiovasc Surg 2014;62:461-7.
  • 2. Soylu E, Harling L, Ashrafian H, Athanasiou T. Does coronary endarterectomy technique affect surgical outcome when combined with coronary artery bypass grafting? Interact Cardiovasc Thorac Surg 2014;19:848-55.
  • 3. Bailey CP, May A, Lemmon WM. Survival after coronary endarterectomy in man. JAMA 1957;164:641-6.
  • 4. Shapira OM, Akopian G, Hussain A, Adelstein M, Lazar LH, Aldea GS, et al. Improved clinical outcomes in patients undergoing coronary artery bypass grafting with coronary endarterectomy. Ann Thorac Surg 1999;68:2273-8.
  • 5. Ghatanatti R, Teli A. Coronary endarterectomy: recent trends. J Clin Diagn Res 2017;11:PE01-PE04.
  • 6. Bagheri A, Masoumi A, Bagheri J. Early outcomes of coronary endarterectomy in patients undergoing coronary artery bypass surgery. Heart Surg Forum 2016;19:E059-63.
  • 7. Gucu A, Goncu T, Yavuz S, Arican Özluk O, Eris C, Turk T, et al. Alternative option in patients with multisegmental left anterior descending coronary artery disease for providing complete myocardial revascularization. Int J Clin Exp Med 2014;7:142-7.
  • 8. Takanashi S, Fukui T, Miyamoto Y. Coronary endarterectomy in the left anterior descending artery. J Cardiol 2008;52:261-8.
  • 9. Stavrou A, Gkiousias V, Kyprianou K, Dimitrakaki IA, Challoumas D, Dimitrakakis G. Coronary endarterectomy: the current state of knowledge. Atherosclerosis 2016;249:88-98.
  • 10. Schmitto JD, Kolat P, Ortmann P, Popov AF, Coskun KO, Friedrich M, et al. Early results of coronary artery bypass grafting with coronary endarterectomy for severe coronary artery disease. J Cardiothorac Surg 2009;4:52.
  • 11. Padhy K, Narasimham SBR, Murthy GSRC, Chaganti VR, Kumar PVVNM, Rao MB, et al. Coronary endarterectomy for diffuse extensive coronary artery disease. Ind J Thoracic Cardiovasc Surg 2005;21:251-5.
  • 12. Yener Ümit A, Kervan Ü, Korkmaz K, Gedik Selçuk H, Budak Baran A, Genç Bahadır S, et al. The impact of coronary artery endarterectomy on mortality and morbidity during coronary artery bypass grafting. Turk Gogus Kalp Dama 2014;22:734-41.
  • 13. Byrne JG, Karavas AN, Gudbjartson T, Leacche M, Rawn JD, Couper GS, et al. Left anterior descending coronary endarterectomy: early and late results in 196 consecutive patients. Ann Thorac Surg 2004;78:867-73.
  • 14. Sirivella S, Gielchinsky I, Parsonnet V. Results of coronary artery endarterectomy and coronary artery bypass grafting for diffuse coronary artery disease. Ann Thorac Surg 2005;80:1738-44.
  • 15. Fuster V. Epidemic of cardiovascular disease and stroke: the three main challenges. Circulation 1999;99:1132-7.
  • 16. Jones EL, Weintraub WS. The importance of completeness of revascularization during long-term follow-up after coronary artery operations. J Thorac Cardiovasc Surg 1996;112:227-37.
  • 17. Tiruvoipati R, Loubani M, Lencioni M, Ghosh S, Jones PW, Patel RL. Coronary endarterectomy:impact on morbidity and mortality when combined with coronary artery bypass surgery. Ann Thorac Surg 2005;79:1999-2003.

Effects of coronary endarterectomy on postoperative early results in long segment coronary artery disease

Year 2020, Volume: 6 Issue: 3, 187 - 192, 04.05.2020
https://doi.org/10.18621/eurj.486547

Abstract

Objectives:
Main
goal of coronary bypass surgery is complete revascularization. In some coronary
endarterectomy applied patient groups, complete revascularization is
inevitable. In this study, it was aimed to reveal factors affecting early
mortality and morbidity in patients undergoing coronary endarterectomy
.

Methods: Retrospective
records of preoperative, operative, and postoperative data of 98 patients
undergoing coronary artery bypass grafting (CABG) with coronary endarterectomy
between January 1, 2012, and October 30, 2016, were reviewed
.

Results: A
total of 113 endarterectomies were performed in different coronary arteries. Of
the patients, 22 (22.4%) were female and 76 (77.6%) were male. The mean of ages
was 60.4 ± 9.9 (range; 36-81 years). A positive inotropic requirement was
required in 68 (69.1%) patients and intra-aortic balloon pump was required for
23 (23.4%) patients. Mortality was observed in 10 patients (10.2%).
Peroperative myocardial infarction was observed in 17 (17.3%) patients.
Mortality rate was significantly higher in patients whose left ventricular
ejection fraction was 30 or less and who had a higher risk in EuroSCORE (
p < 0.001). When compared with the
other vessels, mortality ratewas found to be higher for left anterior
descending coronary artery endarterectomy (
p
= 0.038). Mortality in female patients undergoing endarterectomy was higher
than male patients (
p = 0.023)
.







Conclusions: Mortality
and morbidity are higher in patients undergoing coronary endarterectomy when
compared to conventional CABG operations. However, it is a method that can be
applied by considering certain risk factors

References

  • 1. Nishigawa K, Fukui T, Takanashi S. Coronary endarterectomy for the diffusely diseased coronary artery. Gen Thorac Cardiovasc Surg 2014;62:461-7.
  • 2. Soylu E, Harling L, Ashrafian H, Athanasiou T. Does coronary endarterectomy technique affect surgical outcome when combined with coronary artery bypass grafting? Interact Cardiovasc Thorac Surg 2014;19:848-55.
  • 3. Bailey CP, May A, Lemmon WM. Survival after coronary endarterectomy in man. JAMA 1957;164:641-6.
  • 4. Shapira OM, Akopian G, Hussain A, Adelstein M, Lazar LH, Aldea GS, et al. Improved clinical outcomes in patients undergoing coronary artery bypass grafting with coronary endarterectomy. Ann Thorac Surg 1999;68:2273-8.
  • 5. Ghatanatti R, Teli A. Coronary endarterectomy: recent trends. J Clin Diagn Res 2017;11:PE01-PE04.
  • 6. Bagheri A, Masoumi A, Bagheri J. Early outcomes of coronary endarterectomy in patients undergoing coronary artery bypass surgery. Heart Surg Forum 2016;19:E059-63.
  • 7. Gucu A, Goncu T, Yavuz S, Arican Özluk O, Eris C, Turk T, et al. Alternative option in patients with multisegmental left anterior descending coronary artery disease for providing complete myocardial revascularization. Int J Clin Exp Med 2014;7:142-7.
  • 8. Takanashi S, Fukui T, Miyamoto Y. Coronary endarterectomy in the left anterior descending artery. J Cardiol 2008;52:261-8.
  • 9. Stavrou A, Gkiousias V, Kyprianou K, Dimitrakaki IA, Challoumas D, Dimitrakakis G. Coronary endarterectomy: the current state of knowledge. Atherosclerosis 2016;249:88-98.
  • 10. Schmitto JD, Kolat P, Ortmann P, Popov AF, Coskun KO, Friedrich M, et al. Early results of coronary artery bypass grafting with coronary endarterectomy for severe coronary artery disease. J Cardiothorac Surg 2009;4:52.
  • 11. Padhy K, Narasimham SBR, Murthy GSRC, Chaganti VR, Kumar PVVNM, Rao MB, et al. Coronary endarterectomy for diffuse extensive coronary artery disease. Ind J Thoracic Cardiovasc Surg 2005;21:251-5.
  • 12. Yener Ümit A, Kervan Ü, Korkmaz K, Gedik Selçuk H, Budak Baran A, Genç Bahadır S, et al. The impact of coronary artery endarterectomy on mortality and morbidity during coronary artery bypass grafting. Turk Gogus Kalp Dama 2014;22:734-41.
  • 13. Byrne JG, Karavas AN, Gudbjartson T, Leacche M, Rawn JD, Couper GS, et al. Left anterior descending coronary endarterectomy: early and late results in 196 consecutive patients. Ann Thorac Surg 2004;78:867-73.
  • 14. Sirivella S, Gielchinsky I, Parsonnet V. Results of coronary artery endarterectomy and coronary artery bypass grafting for diffuse coronary artery disease. Ann Thorac Surg 2005;80:1738-44.
  • 15. Fuster V. Epidemic of cardiovascular disease and stroke: the three main challenges. Circulation 1999;99:1132-7.
  • 16. Jones EL, Weintraub WS. The importance of completeness of revascularization during long-term follow-up after coronary artery operations. J Thorac Cardiovasc Surg 1996;112:227-37.
  • 17. Tiruvoipati R, Loubani M, Lencioni M, Ghosh S, Jones PW, Patel RL. Coronary endarterectomy:impact on morbidity and mortality when combined with coronary artery bypass surgery. Ann Thorac Surg 2005;79:1999-2003.
There are 17 citations in total.

Details

Primary Language English
Subjects Surgery, Cardiovascular Surgery
Journal Section Original Articles
Authors

Orhan Güvenç This is me 0000-0003-1072-1269

Mehmet Tuğrul Göncü 0000-0002-3666-8673

Mesut Engin 0000-0003-2418-5823

Mustafa Çağdaş Çayır 0000-0002-9938-8599

Ahmet Fatih Özyazıcıoğlu 0000-0001-8642-5664

Publication Date May 4, 2020
Submission Date December 5, 2018
Acceptance Date February 28, 2019
Published in Issue Year 2020 Volume: 6 Issue: 3

Cite

AMA Güvenç O, Göncü MT, Engin M, Çayır MÇ, Özyazıcıoğlu AF. Effects of coronary endarterectomy on postoperative early results in long segment coronary artery disease. Eur Res J. May 2020;6(3):187-192. doi:10.18621/eurj.486547

e-ISSN: 2149-3189 


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