Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
LEFT ANTERIOR DESCENDING ENDARTERECTOMY AND INTERNAL THORACIC ARTERY BYPASS FOR DIFFUSE CORONARY-DISEASE
Autore:
GILL IS; BEANLANDS DS; BOYD WD; FINLAY S; KEON WJ;
Indirizzi:
UNIV OTTAWA,INST HEART,OTTAWA CIVIC HOSP,1053 CARLING AVE OTTAWA ON K1Y 4E9 CANADA UNIV OTTAWA,INST HEART,DEPT CARDIOTHORAC SURG & CARDIOL OTTAWA ON CANADA
Titolo Testata:
The Annals of thoracic surgery
fascicolo: 3, volume: 65, anno: 1998,
pagine: 659 - 662
SICI:
0003-4975(1998)65:3<659:LADEAI>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
GRAFT; SURVIVAL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
14
Recensione:
Indirizzi per estratti:
Citazione:
I.S. Gill et al., "LEFT ANTERIOR DESCENDING ENDARTERECTOMY AND INTERNAL THORACIC ARTERY BYPASS FOR DIFFUSE CORONARY-DISEASE", The Annals of thoracic surgery, 65(3), 1998, pp. 659-662

Abstract

Background. The risk and efficacy of using an arterial conduit to bypass an endarterectomized coronary artery remain incompletely defined. To address this question we analyzed retrospectively 74 patients from 1989 to 1994 in whom bypass grafting using the left internal thoracic artery to an endarterectomized left anterior descending artery was performed. Methods. There were 60 men and 14 women with a mean age of 60.1 +/- 8.6 years. Of this cohort, 55 patients (74.3%) had a previous infarction, 18 (24.3%) were diabetic, and 5 (6.7%) had reoperations; 25 patients (34%) had a totally occluded left anterior descending artery and the average ejection fraction was 45%. Each patient had 2.95 +/- 0.52 grafts with 48 patients (65%) requiring multiple endarterectomies. The average length of the endarterectomized segment was 3.1 +/- 1.6 cm. Average anoxia time was 49 +/- 13 minutes. Postoperatively 19 patients (25.6%) required intraaortic balloon and 18 (24.3%) required inotropic support. Perioperative infarction in the left anterior descendingartery distribution occurred in 5 patients (6.7%). Results. There were 3 (4.0%) early and 4 (5.4%) late deaths at a mean follow-up of 36 +/- 16 months. Recurrent angina was present in 9 patients (14.7%). Actuarial 5-year survival was 84.5%. Angiographic follow-up obtained in 23 patients (37.4%) demonstrated 74% anastomotic patency, with good distal run-off in 13 (65%). The anterior segmental wall motion was preserved. Conclusions. The use of the loft internal thoracic artery bypass and adjunctive left anterior descending artery endarterectomy to expand the scope of myocardial revascularization in carefully selected circumstances appears to be beneficial. (C) 1998 by The Society of Thoracic Surgeons.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/09/20 alle ore 20:12:32