A DECADE OF EXPERIENCE IN APPLICATION OF TRANSMYOCARDIAL LASER REVASCULARIZATION IN COMBINATION WITH AORTOCORONARY SHUNTING
Objective: to study the security and the effect of transmyocardial laser revascularization in combination with aortocoronary shunting in patience with diffuse coronary artery disease.Materials and methods: the study compared the results of surgical treatment in patients with diffuse distal coronary...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation
2020-03-01
|
| Series: | Медицинский вестник Юга России |
| Subjects: | |
| Online Access: | https://www.medicalherald.ru/jour/article/view/1044 |
| _version_ | 1811189300796063744 |
|---|---|
| author | A. V. Krnchoyan S. A. Lyashenko A. G. Starovoitenko A. V. Dyuzhikova R. A. Gasparyan A. V. Poddubny A. А. Dyuzhikov |
| author_facet | A. V. Krnchoyan S. A. Lyashenko A. G. Starovoitenko A. V. Dyuzhikova R. A. Gasparyan A. V. Poddubny A. А. Dyuzhikov |
| author_sort | A. V. Krnchoyan |
| collection | DOAJ |
| description | Objective: to study the security and the effect of transmyocardial laser revascularization in combination with aortocoronary shunting in patience with diffuse coronary artery disease.Materials and methods: the study compared the results of surgical treatment in patients with diffuse distal coronary artery disease in the period from 2007 to 2013. Patients were divided into two groups, the first group consisted of patients who underwent CABG in combination with TMLR (n-60), the second group includes patients who underwent isolated CABG (n-46). According to the initial demographic data and comorbidity, the groups were not significantly different from each other. Subsequent observation (on average 7, 5±0, 9 years) included rating of survival and return of angina. Results: remote mortality during the observation period in the first group was 7, 6 % (n = 4), and in the second group — 18, 9 % (n = 7). In both groups the functional class of angina pectoris significantly decreased, however, in the first group this tendency was more expressed (exertional angina I EF in the CABG + TMLR group have 54 (90 %) patients, in the second group — 33 (71,7 %), p = 0,02. Conclusions: transmyocardial laser revascularization in combination with aortocoronary shunting in high-risk patients with diffuse atherosclerotic lesions of the coronary arteries contributed to an increase in exercise tolerance, reduced symptoms, and provided an acceptable quality of life in the long term. |
| first_indexed | 2024-04-11T14:32:36Z |
| format | Article |
| id | doaj.art-f8d410765b9145a48376700add59348e |
| institution | Directory Open Access Journal |
| issn | 2219-8075 2618-7876 |
| language | English |
| last_indexed | 2024-04-11T14:32:36Z |
| publishDate | 2020-03-01 |
| publisher | State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation |
| record_format | Article |
| series | Медицинский вестник Юга России |
| spelling | doaj.art-f8d410765b9145a48376700add59348e2022-12-22T04:18:29ZengState Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian FederationМедицинский вестник Юга России2219-80752618-78762020-03-01111465410.21886/2219-8075-2020-11-1-46-54559A DECADE OF EXPERIENCE IN APPLICATION OF TRANSMYOCARDIAL LASER REVASCULARIZATION IN COMBINATION WITH AORTOCORONARY SHUNTINGA. V. Krnchoyan0S. A. Lyashenko1A. G. Starovoitenko2A. V. Dyuzhikova3R. A. Gasparyan4A. V. Poddubny5A. А. Dyuzhikov6Rostov State Medical UniversityRostov Regional Clinical HospitalRostov Regional Clinical HospitalRostov Regional Clinical HospitalRostov Regional Clinical HospitalRostov Regional Clinical HospitalRostov State Medical UniversityObjective: to study the security and the effect of transmyocardial laser revascularization in combination with aortocoronary shunting in patience with diffuse coronary artery disease.Materials and methods: the study compared the results of surgical treatment in patients with diffuse distal coronary artery disease in the period from 2007 to 2013. Patients were divided into two groups, the first group consisted of patients who underwent CABG in combination with TMLR (n-60), the second group includes patients who underwent isolated CABG (n-46). According to the initial demographic data and comorbidity, the groups were not significantly different from each other. Subsequent observation (on average 7, 5±0, 9 years) included rating of survival and return of angina. Results: remote mortality during the observation period in the first group was 7, 6 % (n = 4), and in the second group — 18, 9 % (n = 7). In both groups the functional class of angina pectoris significantly decreased, however, in the first group this tendency was more expressed (exertional angina I EF in the CABG + TMLR group have 54 (90 %) patients, in the second group — 33 (71,7 %), p = 0,02. Conclusions: transmyocardial laser revascularization in combination with aortocoronary shunting in high-risk patients with diffuse atherosclerotic lesions of the coronary arteries contributed to an increase in exercise tolerance, reduced symptoms, and provided an acceptable quality of life in the long term.https://www.medicalherald.ru/jour/article/view/1044ischemic heart disease, transmyocardial revascularization, coronary bypass, diffuse coronary artery atherosclerosis |
| spellingShingle | A. V. Krnchoyan S. A. Lyashenko A. G. Starovoitenko A. V. Dyuzhikova R. A. Gasparyan A. V. Poddubny A. А. Dyuzhikov A DECADE OF EXPERIENCE IN APPLICATION OF TRANSMYOCARDIAL LASER REVASCULARIZATION IN COMBINATION WITH AORTOCORONARY SHUNTING Медицинский вестник Юга России ischemic heart disease, transmyocardial revascularization, coronary bypass, diffuse coronary artery atherosclerosis |
| title | A DECADE OF EXPERIENCE IN APPLICATION OF TRANSMYOCARDIAL LASER REVASCULARIZATION IN COMBINATION WITH AORTOCORONARY SHUNTING |
| title_full | A DECADE OF EXPERIENCE IN APPLICATION OF TRANSMYOCARDIAL LASER REVASCULARIZATION IN COMBINATION WITH AORTOCORONARY SHUNTING |
| title_fullStr | A DECADE OF EXPERIENCE IN APPLICATION OF TRANSMYOCARDIAL LASER REVASCULARIZATION IN COMBINATION WITH AORTOCORONARY SHUNTING |
| title_full_unstemmed | A DECADE OF EXPERIENCE IN APPLICATION OF TRANSMYOCARDIAL LASER REVASCULARIZATION IN COMBINATION WITH AORTOCORONARY SHUNTING |
| title_short | A DECADE OF EXPERIENCE IN APPLICATION OF TRANSMYOCARDIAL LASER REVASCULARIZATION IN COMBINATION WITH AORTOCORONARY SHUNTING |
| title_sort | decade of experience in application of transmyocardial laser revascularization in combination with aortocoronary shunting |
| topic | ischemic heart disease, transmyocardial revascularization, coronary bypass, diffuse coronary artery atherosclerosis |
| url | https://www.medicalherald.ru/jour/article/view/1044 |
| work_keys_str_mv | AT avkrnchoyan adecadeofexperienceinapplicationoftransmyocardiallaserrevascularizationincombinationwithaortocoronaryshunting AT salyashenko adecadeofexperienceinapplicationoftransmyocardiallaserrevascularizationincombinationwithaortocoronaryshunting AT agstarovoitenko adecadeofexperienceinapplicationoftransmyocardiallaserrevascularizationincombinationwithaortocoronaryshunting AT avdyuzhikova adecadeofexperienceinapplicationoftransmyocardiallaserrevascularizationincombinationwithaortocoronaryshunting AT ragasparyan adecadeofexperienceinapplicationoftransmyocardiallaserrevascularizationincombinationwithaortocoronaryshunting AT avpoddubny adecadeofexperienceinapplicationoftransmyocardiallaserrevascularizationincombinationwithaortocoronaryshunting AT aadyuzhikov adecadeofexperienceinapplicationoftransmyocardiallaserrevascularizationincombinationwithaortocoronaryshunting AT avkrnchoyan decadeofexperienceinapplicationoftransmyocardiallaserrevascularizationincombinationwithaortocoronaryshunting AT salyashenko decadeofexperienceinapplicationoftransmyocardiallaserrevascularizationincombinationwithaortocoronaryshunting AT agstarovoitenko decadeofexperienceinapplicationoftransmyocardiallaserrevascularizationincombinationwithaortocoronaryshunting AT avdyuzhikova decadeofexperienceinapplicationoftransmyocardiallaserrevascularizationincombinationwithaortocoronaryshunting AT ragasparyan decadeofexperienceinapplicationoftransmyocardiallaserrevascularizationincombinationwithaortocoronaryshunting AT avpoddubny decadeofexperienceinapplicationoftransmyocardiallaserrevascularizationincombinationwithaortocoronaryshunting AT aadyuzhikov decadeofexperienceinapplicationoftransmyocardiallaserrevascularizationincombinationwithaortocoronaryshunting |