Long-term outcomes of reconstructive procedures on coronary arteries for diffuse coronary atherosclerosis without endarterectomy
Objective. This study evaluated the long-term clinical and angiographic outcomes of coronary artery reconstruction for a diffusely diseased coronary artery without endarterectomy.Material and Methods. We retrospectively reviewed 660 consecutive patients (mostly men (89.5%), mean age 68.3 ± 7.4 years...
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| Language: | Russian |
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Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1
2020-11-01
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| Series: | Инновационная медицина Кубани |
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| Online Access: | https://www.innovmedkub.ru/jour/article/view/327 |
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| author | S. A. Belash S. S. Shevchenko E. P. Yasakova K. O. Barbukhatti V. A. Porhanov |
| author_facet | S. A. Belash S. S. Shevchenko E. P. Yasakova K. O. Barbukhatti V. A. Porhanov |
| author_sort | S. A. Belash |
| collection | DOAJ |
| description | Objective. This study evaluated the long-term clinical and angiographic outcomes of coronary artery reconstruction for a diffusely diseased coronary artery without endarterectomy.Material and Methods. We retrospectively reviewed 660 consecutive patients (mostly men (89.5%), mean age 68.3 ± 7.4 years) who underwent coronary artery bypass grafting in combination with coronary artery reconstruction between 2003 and 2016. 558 operated on patients (84.5%) were followed up for a mean of 94.3 ± 31.2 months.Results. Long-term survival was 83.2% (95% confidence interval: 74.5–89.3); freedom from cardiac death was 97.4 ± 1.2%; and freedom from major adverse cardiac and cerebrovascular events was 64.7 ± 4.1%. Independent predictors of long-term mortality were age at surgery (< 70 years, p < 0.001), chronic obstructive pulmonary disease (p = 0.007), peripheral arterial disease (p = 0.002), diabetes mellitus (p = 0.013) and chronic kidney disease (p = 0.034). The arterial graft patency rate was 95.2%, and the vein graft patency rate was 75.4%.Conclusion. Coronary artery bypass grafting in conjunction with coronary artery reconstruction without endarterectomy confers satisfactory long-term clinical outcomes with high probability of freedom from cardiac death and angina pectoris, good rates of angiographic patency of arterial grafts and favorable rates of vein graft patency. |
| first_indexed | 2024-03-07T15:35:52Z |
| format | Article |
| id | doaj.art-98d1db0ddeb64614823fbc67edc977bb |
| institution | Directory Open Access Journal |
| issn | 2541-9897 |
| language | Russian |
| last_indexed | 2024-03-07T15:35:52Z |
| publishDate | 2020-11-01 |
| publisher | Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1 |
| record_format | Article |
| series | Инновационная медицина Кубани |
| spelling | doaj.art-98d1db0ddeb64614823fbc67edc977bb2024-03-05T11:12:30ZrusScientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1Инновационная медицина Кубани2541-98972020-11-010461310.35401/2500-0268-2020-20-4-6-13252Long-term outcomes of reconstructive procedures on coronary arteries for diffuse coronary atherosclerosis without endarterectomyS. A. Belash0S. S. Shevchenko1E. P. Yasakova2K. O. Barbukhatti3V. A. Porhanov4Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1; Kuban State Medical UniversityScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1; Kuban State Medical UniversityScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1; Kuban State Medical UniversityObjective. This study evaluated the long-term clinical and angiographic outcomes of coronary artery reconstruction for a diffusely diseased coronary artery without endarterectomy.Material and Methods. We retrospectively reviewed 660 consecutive patients (mostly men (89.5%), mean age 68.3 ± 7.4 years) who underwent coronary artery bypass grafting in combination with coronary artery reconstruction between 2003 and 2016. 558 operated on patients (84.5%) were followed up for a mean of 94.3 ± 31.2 months.Results. Long-term survival was 83.2% (95% confidence interval: 74.5–89.3); freedom from cardiac death was 97.4 ± 1.2%; and freedom from major adverse cardiac and cerebrovascular events was 64.7 ± 4.1%. Independent predictors of long-term mortality were age at surgery (< 70 years, p < 0.001), chronic obstructive pulmonary disease (p = 0.007), peripheral arterial disease (p = 0.002), diabetes mellitus (p = 0.013) and chronic kidney disease (p = 0.034). The arterial graft patency rate was 95.2%, and the vein graft patency rate was 75.4%.Conclusion. Coronary artery bypass grafting in conjunction with coronary artery reconstruction without endarterectomy confers satisfactory long-term clinical outcomes with high probability of freedom from cardiac death and angina pectoris, good rates of angiographic patency of arterial grafts and favorable rates of vein graft patency.https://www.innovmedkub.ru/jour/article/view/327coronary artery reconstructiondiffuse coronary atherosclerosisleft internal mammary arterygraft patency |
| spellingShingle | S. A. Belash S. S. Shevchenko E. P. Yasakova K. O. Barbukhatti V. A. Porhanov Long-term outcomes of reconstructive procedures on coronary arteries for diffuse coronary atherosclerosis without endarterectomy Инновационная медицина Кубани coronary artery reconstruction diffuse coronary atherosclerosis left internal mammary artery graft patency |
| title | Long-term outcomes of reconstructive procedures on coronary arteries for diffuse coronary atherosclerosis without endarterectomy |
| title_full | Long-term outcomes of reconstructive procedures on coronary arteries for diffuse coronary atherosclerosis without endarterectomy |
| title_fullStr | Long-term outcomes of reconstructive procedures on coronary arteries for diffuse coronary atherosclerosis without endarterectomy |
| title_full_unstemmed | Long-term outcomes of reconstructive procedures on coronary arteries for diffuse coronary atherosclerosis without endarterectomy |
| title_short | Long-term outcomes of reconstructive procedures on coronary arteries for diffuse coronary atherosclerosis without endarterectomy |
| title_sort | long term outcomes of reconstructive procedures on coronary arteries for diffuse coronary atherosclerosis without endarterectomy |
| topic | coronary artery reconstruction diffuse coronary atherosclerosis left internal mammary artery graft patency |
| url | https://www.innovmedkub.ru/jour/article/view/327 |
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