Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Off-pump total arterial revascularization with both internal thoracic arteries without extracorporeal circulation
Autore:
Cuenca, JJ; Herrera, JM; Rodriguez-Delgadillo, MA; Paladini, G; Campos, V; Rodriguez, F; Valle, JV; Portela, F; Crespo, F; Juffe, A;
Indirizzi:
Hosp Juan Canalejo, Serv Cirugia Cardiaca, A Coruna 15006, Spain Hosp JuanCanalejo A Coruna Spain 15006 Cardiaca, A Coruna 15006, Spain
Titolo Testata:
REVISTA ESPANOLA DE CARDIOLOGIA
fascicolo: 5, volume: 53, anno: 2000,
pagine: 632 - 641
SICI:
0300-8932(200005)53:5<632:OTARWB>2.0.ZU;2-L
Fonte:
ISI
Lingua:
SPA
Soggetto:
CORONARY-BYPASS SURGERY; ANGIOGRAPHIC FOLLOW-UP; MAMMARY-ARTERY; CARDIOPULMONARY BYPASS; MYOCARDIAL REVASCULARIZATION; BEATING HEART; NONINVASIVE ASSESSMENT; OCTOPUS METHOD; BLOOD-FLOW; GRAFTS;
Keywords:
surgery; revascularization;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
59
Recensione:
Indirizzi per estratti:
Indirizzo: Cuenca, JJ Hosp Juan Canalejo, Serv Cirugia Cardiaca, Xubias de Arriba 84,A Coruna 15006, Spain Hosp Juan Canalejo Xubias de Arriba 84 A Coruna Spain 15006 in
Citazione:
J.J. Cuenca et al., "Off-pump total arterial revascularization with both internal thoracic arteries without extracorporeal circulation", REV ESP CAR, 53(5), 2000, pp. 632-641

Abstract

Introduction. Tector has described the off-pump total arterial revascularization technique, using multiple anastomosis with both internal thoracic arteries. To reduce surgical morbid-mortality, we have proposed the use of this technique without extracorporeal circulation. Patients and methods. From April, 1998 the off-pump Tector technique was performed in 92 patients, 74 male (80%) and 18 female (20%), with a mean ageof 64.9 +/- 8.1 years (42-78). Preoperative angiography demonstrated triple-vessel disease in 58 (63%) patients, and left main disease was present in19 (20.5%) patients. Forty patients (43.5%) showed unstable angina, 24 patients (26%) significant peripheral vascular disease, and 26 (28%) diabetes mellitus. Both internal thoracic arteries were harvested using the skeletonization technique and were used like a "T or T" graft. The flow in the graft was measured using a flowmeter, and in 24 (26%) patients by angiographic study. Results. A total of 274 distal anastomoses were performed, 122 (44.6%) in the lateral or inferior wall, and 69 (25.2%) were sequential, with an average of 2.98 bypass/patient. In 59.8% of the patients a triple bypass was performed, 22% double bypass, 17% cuadruple bypass and 1 patient a quintuple bypass. During the initial six hours 64.9% of patients were extubated. Only one patient (1.1%) needed intraaortic ballon pumping and 3 (3.2%) inotropics during the postoperative course. Hospital mortality was 3 (3.2%) patients. Reoperation for bleeding was needed in just one patient (1.1%), and 78.3%of patients were not transfused. Mediastinitis occurred in 3 patients (3.2%). Postoperative stroke was not observed. At 7.7 +/- 2.8 months of mean follow-up all patients were free of symptoms and the global patency rate of 94%. Conclusions. Off-pump Tector technique appears to be safe, offering a complete arterial revascularization and showing a reduction of surgical morbidity.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 03:50:30