Comparative Analysis of Early Postoperative Period in Patients with Total Arterial Revascularization and Conventional Coronary Artery Bypass Grafting
The use of total arterial myocardial revascularization in patients with multivessel lesions of the coronary arteries has a number of advantages, namely the duration of functioning or patency of the grafts. The level of total arterial myocardial revascularization implementation in developed and devel...
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| Format: | Article |
| Language: | English |
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Professional Edition Eastern Europe
2022-12-01
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| Series: | Український журнал серцево-судинної хірургії |
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| Online Access: | http://cvs.org.ua/index.php/ujcvs/article/view/524 |
| _version_ | 1797974516675117056 |
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| author | Nadiya M. Rudenko Oleksandr Yu. Pukas |
| author_facet | Nadiya M. Rudenko Oleksandr Yu. Pukas |
| author_sort | Nadiya M. Rudenko |
| collection | DOAJ |
| description | The use of total arterial myocardial revascularization in patients with multivessel lesions of the coronary arteries has a number of advantages, namely the duration of functioning or patency of the grafts. The level of total arterial myocardial revascularization implementation in developed and developing countries remains quite low.
The aim. Based on the analysis of our own experience, to determine the influence of the technique of total arterial revascularization on the frequency of complications in the early postoperative period.
Materials and methods. From February 22, 2016 to December 24, 2020, 390 consecutive patients were operated at the Ukrainian Children’s Cardiac Center. The patients were divided into two groups: participants of the group I underwent total arterial myocardial revascularization, and those includedin the group II underwent conventional coronary artery bypass grafting (CABG). The inclusion criteria were: ischemic heart disease, stable angina or exertional angina, multivascular coronary artery disease, absence of valvular pathology.
Results. There was zero 30-day mortality in both groups. The frequency of postoperative bleeding was higher in group II and amounted to 1.6%. Surgical wound complications (infection) were also more common in the group II: 1.2% versus 0.69% (p=0.906) in the group I. Similarly, laboratory parameters such as the level of creatine kinase-MB were almost identical.
Conclusions. Total arterial myocardial revascularization is a safe method with good immediate results. The frequency of complications in total arterial myocardial revascularizationdoes not differ from that in conventional CABG. For a wider application of the total arterial myocardial revascularization,it is necessary to continue toconduct studies of the remote postoperative period. |
| first_indexed | 2024-04-11T04:21:01Z |
| format | Article |
| id | doaj.art-c4fa0a3f9b0c4e5ca9057015850e5dcf |
| institution | Directory Open Access Journal |
| issn | 2664-5963 2664-5971 |
| language | English |
| last_indexed | 2024-04-11T04:21:01Z |
| publishDate | 2022-12-01 |
| publisher | Professional Edition Eastern Europe |
| record_format | Article |
| series | Український журнал серцево-судинної хірургії |
| spelling | doaj.art-c4fa0a3f9b0c4e5ca9057015850e5dcf2022-12-30T20:33:17ZengProfessional Edition Eastern EuropeУкраїнський журнал серцево-судинної хірургії2664-59632664-59712022-12-01304333810.30702/ujcvs/22.30(04)/RP049-3338524Comparative Analysis of Early Postoperative Period in Patients with Total Arterial Revascularization and Conventional Coronary Artery Bypass GraftingNadiya M. Rudenko0https://orcid.org/0000-0002-1681-598XOleksandr Yu. Pukas1https://orcid.org/0000-0003-1187-8532Ukrainian Children’s Cardiac Center, Kyiv, Ukraine; Shupyk National Healthcare University of Ukraine, Kyiv, UkraineUkrainian Children’s Cardiac Center, Kyiv, Ukraine; Shupyk National Healthcare University of Ukraine, Kyiv, UkraineThe use of total arterial myocardial revascularization in patients with multivessel lesions of the coronary arteries has a number of advantages, namely the duration of functioning or patency of the grafts. The level of total arterial myocardial revascularization implementation in developed and developing countries remains quite low. The aim. Based on the analysis of our own experience, to determine the influence of the technique of total arterial revascularization on the frequency of complications in the early postoperative period. Materials and methods. From February 22, 2016 to December 24, 2020, 390 consecutive patients were operated at the Ukrainian Children’s Cardiac Center. The patients were divided into two groups: participants of the group I underwent total arterial myocardial revascularization, and those includedin the group II underwent conventional coronary artery bypass grafting (CABG). The inclusion criteria were: ischemic heart disease, stable angina or exertional angina, multivascular coronary artery disease, absence of valvular pathology. Results. There was zero 30-day mortality in both groups. The frequency of postoperative bleeding was higher in group II and amounted to 1.6%. Surgical wound complications (infection) were also more common in the group II: 1.2% versus 0.69% (p=0.906) in the group I. Similarly, laboratory parameters such as the level of creatine kinase-MB were almost identical. Conclusions. Total arterial myocardial revascularization is a safe method with good immediate results. The frequency of complications in total arterial myocardial revascularizationdoes not differ from that in conventional CABG. For a wider application of the total arterial myocardial revascularization,it is necessary to continue toconduct studies of the remote postoperative period.http://cvs.org.ua/index.php/ujcvs/article/view/524internal thoracic arterygreat saphenous veinrisk factorsdiabeteswound complications |
| spellingShingle | Nadiya M. Rudenko Oleksandr Yu. Pukas Comparative Analysis of Early Postoperative Period in Patients with Total Arterial Revascularization and Conventional Coronary Artery Bypass Grafting Український журнал серцево-судинної хірургії internal thoracic artery great saphenous vein risk factors diabetes wound complications |
| title | Comparative Analysis of Early Postoperative Period in Patients with Total Arterial Revascularization and Conventional Coronary Artery Bypass Grafting |
| title_full | Comparative Analysis of Early Postoperative Period in Patients with Total Arterial Revascularization and Conventional Coronary Artery Bypass Grafting |
| title_fullStr | Comparative Analysis of Early Postoperative Period in Patients with Total Arterial Revascularization and Conventional Coronary Artery Bypass Grafting |
| title_full_unstemmed | Comparative Analysis of Early Postoperative Period in Patients with Total Arterial Revascularization and Conventional Coronary Artery Bypass Grafting |
| title_short | Comparative Analysis of Early Postoperative Period in Patients with Total Arterial Revascularization and Conventional Coronary Artery Bypass Grafting |
| title_sort | comparative analysis of early postoperative period in patients with total arterial revascularization and conventional coronary artery bypass grafting |
| topic | internal thoracic artery great saphenous vein risk factors diabetes wound complications |
| url | http://cvs.org.ua/index.php/ujcvs/article/view/524 |
| work_keys_str_mv | AT nadiyamrudenko comparativeanalysisofearlypostoperativeperiodinpatientswithtotalarterialrevascularizationandconventionalcoronaryarterybypassgrafting AT oleksandryupukas comparativeanalysisofearlypostoperativeperiodinpatientswithtotalarterialrevascularizationandconventionalcoronaryarterybypassgrafting |