INNOVATIVE APPROACH – MINIMALLY INVASIVE MULTIVESSEL CORONARY GRAFTING THROUGH A LEFT ANTERIOR THORACOTOMY
Personal experience with minimally invasive multivessel coronary grafting through left anterior thoracotomy is described. Currently, we use this technique routinely, regardless of the number of grafts, quality, and location of coronary targets, left ventricular ejection fraction, age, gender, body m...
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| Format: | Article |
| Language: | English |
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Shevchenko Scientific Society
2019-06-01
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| Series: | Праці Наукового товариства імені Шевченка. Медичні науки |
| Subjects: | |
| Online Access: | https://mspsss.org.ua/index.php/journal/article/view/6 |
| _version_ | 1818533666457911296 |
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| author | O. Babliak V. Demianenko D. Babliak E. Melnyk K. Revenko O. Stohov |
| author_facet | O. Babliak V. Demianenko D. Babliak E. Melnyk K. Revenko O. Stohov |
| author_sort | O. Babliak |
| collection | DOAJ |
| description | Personal experience with minimally invasive multivessel coronary grafting through left anterior thoracotomy is described. Currently, we use this technique routinely, regardless of the number of grafts, quality, and location of coronary targets, left ventricular ejection fraction, age, gender, body mass index.
Our aim was to develop minimally invasive coronary artery bypass grafting technique, which would be equally effective and safe as compared to the conventional coronary grafting technique; would be reproducible and be applied for every patient with isolated coronary artery disease. 220 patients were operated and then analyzed. In all patients, complete revascularization was performed. Mean number of grafts was 3.37± 0.68 per patient (range 2-5). Left internal mammary artery was used in 206 patients, right internal mammary artery - in 4 patients, radial artery - in 37 patients, vein grafts - in 193 patients. Complete arterial revascularization was performed in 29 patients. We had no mortality. Mean aortic cross-clamp time was 70.7 ± 18.7 min (range 31 - 146 min). Mean cardiopulmonary bypass time was 137.5 ± 31.9 min (range 71 - 339 min). Postoperatively, total drainage in the first 12 hours was 376.7 ± 205.4 ml, ventilation time was 2.6 ± 1.4 hours, ICU stay was 2.3 ± 1.2 days.
Conclusion. Minimally invasive coronary bypass grafting is an effective and safe surgical method. Complete revascularization could be performed regardless of the number of grafts, left ventricle ejection fraction, quality and size of coronary vessels, or age of the patient. |
| first_indexed | 2024-12-11T18:01:44Z |
| format | Article |
| id | doaj.art-07dd748c34aa464c90554af13ba9cb0d |
| institution | Directory Open Access Journal |
| issn | 2708-8634 2708-8642 |
| language | English |
| last_indexed | 2024-12-11T18:01:44Z |
| publishDate | 2019-06-01 |
| publisher | Shevchenko Scientific Society |
| record_format | Article |
| series | Праці Наукового товариства імені Шевченка. Медичні науки |
| spelling | doaj.art-07dd748c34aa464c90554af13ba9cb0d2022-12-22T00:55:51ZengShevchenko Scientific SocietyПраці Наукового товариства імені Шевченка. Медичні науки2708-86342708-86422019-06-01551657710.25040/ntsh2019.01.066INNOVATIVE APPROACH – MINIMALLY INVASIVE MULTIVESSEL CORONARY GRAFTING THROUGH A LEFT ANTERIOR THORACOTOMYO. Babliak0V. Demianenko1D. Babliak2E. Melnyk3K. Revenko4O. Stohov5Diagnostic and Treatment Center For Children And Adults Of The Dobrobut Medical Network, Kyiv, UkraineDiagnostic and Treatment Center For Children And Adults Of The Dobrobut Medical Network, Kyiv, UkraineDiagnostic and Treatment Center For Children And Adults Of The Dobrobut Medical Network, Kyiv, UkraineDiagnostic and Treatment Center For Children And Adults Of The Dobrobut Medical Network, Kyiv, Ukraine Diagnostic and Treatment Center For Children And Adults Of The Dobrobut Medical Network, Kyiv, UkraineDiagnostic and Treatment Center For Children And Adults Of The Dobrobut Medical Network, Kyiv, UkrainePersonal experience with minimally invasive multivessel coronary grafting through left anterior thoracotomy is described. Currently, we use this technique routinely, regardless of the number of grafts, quality, and location of coronary targets, left ventricular ejection fraction, age, gender, body mass index. Our aim was to develop minimally invasive coronary artery bypass grafting technique, which would be equally effective and safe as compared to the conventional coronary grafting technique; would be reproducible and be applied for every patient with isolated coronary artery disease. 220 patients were operated and then analyzed. In all patients, complete revascularization was performed. Mean number of grafts was 3.37± 0.68 per patient (range 2-5). Left internal mammary artery was used in 206 patients, right internal mammary artery - in 4 patients, radial artery - in 37 patients, vein grafts - in 193 patients. Complete arterial revascularization was performed in 29 patients. We had no mortality. Mean aortic cross-clamp time was 70.7 ± 18.7 min (range 31 - 146 min). Mean cardiopulmonary bypass time was 137.5 ± 31.9 min (range 71 - 339 min). Postoperatively, total drainage in the first 12 hours was 376.7 ± 205.4 ml, ventilation time was 2.6 ± 1.4 hours, ICU stay was 2.3 ± 1.2 days. Conclusion. Minimally invasive coronary bypass grafting is an effective and safe surgical method. Complete revascularization could be performed regardless of the number of grafts, left ventricle ejection fraction, quality and size of coronary vessels, or age of the patient.https://mspsss.org.ua/index.php/journal/article/view/6ischemic heart disease, coronary grafting, minimally invasive coronary grafting |
| spellingShingle | O. Babliak V. Demianenko D. Babliak E. Melnyk K. Revenko O. Stohov INNOVATIVE APPROACH – MINIMALLY INVASIVE MULTIVESSEL CORONARY GRAFTING THROUGH A LEFT ANTERIOR THORACOTOMY Праці Наукового товариства імені Шевченка. Медичні науки ischemic heart disease, coronary grafting, minimally invasive coronary grafting |
| title | INNOVATIVE APPROACH – MINIMALLY INVASIVE MULTIVESSEL CORONARY GRAFTING THROUGH A LEFT ANTERIOR THORACOTOMY |
| title_full | INNOVATIVE APPROACH – MINIMALLY INVASIVE MULTIVESSEL CORONARY GRAFTING THROUGH A LEFT ANTERIOR THORACOTOMY |
| title_fullStr | INNOVATIVE APPROACH – MINIMALLY INVASIVE MULTIVESSEL CORONARY GRAFTING THROUGH A LEFT ANTERIOR THORACOTOMY |
| title_full_unstemmed | INNOVATIVE APPROACH – MINIMALLY INVASIVE MULTIVESSEL CORONARY GRAFTING THROUGH A LEFT ANTERIOR THORACOTOMY |
| title_short | INNOVATIVE APPROACH – MINIMALLY INVASIVE MULTIVESSEL CORONARY GRAFTING THROUGH A LEFT ANTERIOR THORACOTOMY |
| title_sort | innovative approach minimally invasive multivessel coronary grafting through a left anterior thoracotomy |
| topic | ischemic heart disease, coronary grafting, minimally invasive coronary grafting |
| url | https://mspsss.org.ua/index.php/journal/article/view/6 |
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