Outcomes of Surgical Patch Angioplasty of The Coronary Artery for Diffuse Coronary Artery Disease
Abstract Introduction: Diffuse coronary artery disease (CAD) has a poor prognosis and many patients are ineligible for conventional coronary artery bypass grafting (CABG). This study evaluated the 12-month outcomes of coronary artery reconstruction and surgical patch angioplasty of the coronary artery for diffuse CAD. Methods: A retrospective cohort study of patients who underwent CABG with surgical patch angioplasty of the coronary artery (reconstruction group) or standard CABG alone (standard group) at the Cardiovascular Surgery Department of the local Hospital between January 2014 and January 2016. Follow-up was censored at 12 months after surgery. Results: Cardiopulmonary bypass and aortic cross-clamping durations were longer in the reconstruction group (n=32) than in the standard group (n=125) (P<0.05). There were no differences in graft blood flow and postoperative levels of cardiac markers between the two groups (P<0.05). In the reconstruction group, one patient died; a vein graft showed occlusion. In the standard group, two patients died; one left internal mammary artery graft and three vein grafts showed occlusion. There were no significant differences in mortality, major adverse cardiovascular and cerebrovascular events, and patency between the two groups (P<0.05). Conclusion: Coronary artery reconstruction and surgical patch angioplasty of the coronary artery can be performed for diffuse CAD. Patient outcomes were not significantly different from those of patients who underwent standard CABG..
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2020 |
|---|---|
| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:35 |
|---|---|
| Enthalten in: |
Brazilian Journal of Cardiovascular Surgery - 35(2020), 5, Seite 706-712 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Dong Li [VerfasserIn] |
|---|
| Links: |
doi.org [kostenfrei] |
|---|
| doi: |
10.21470/1678-9741-2019-0390 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
DOAJ043103936 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | DOAJ043103936 | ||
| 003 | DE-627 | ||
| 005 | 20230502120120.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 230227s2020 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.21470/1678-9741-2019-0390 |2 doi | |
| 035 | |a (DE-627)DOAJ043103936 | ||
| 035 | |a (DE-599)DOAJd5f953732762403b8d3f5cd2e563d9f7 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 050 | 0 | |a RD1-811 | |
| 050 | 0 | |a RC666-701 | |
| 100 | 0 | |a Dong Li |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Outcomes of Surgical Patch Angioplasty of The Coronary Artery for Diffuse Coronary Artery Disease |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 520 | |a Abstract Introduction: Diffuse coronary artery disease (CAD) has a poor prognosis and many patients are ineligible for conventional coronary artery bypass grafting (CABG). This study evaluated the 12-month outcomes of coronary artery reconstruction and surgical patch angioplasty of the coronary artery for diffuse CAD. Methods: A retrospective cohort study of patients who underwent CABG with surgical patch angioplasty of the coronary artery (reconstruction group) or standard CABG alone (standard group) at the Cardiovascular Surgery Department of the local Hospital between January 2014 and January 2016. Follow-up was censored at 12 months after surgery. Results: Cardiopulmonary bypass and aortic cross-clamping durations were longer in the reconstruction group (n=32) than in the standard group (n=125) (P<0.05). There were no differences in graft blood flow and postoperative levels of cardiac markers between the two groups (P<0.05). In the reconstruction group, one patient died; a vein graft showed occlusion. In the standard group, two patients died; one left internal mammary artery graft and three vein grafts showed occlusion. There were no significant differences in mortality, major adverse cardiovascular and cerebrovascular events, and patency between the two groups (P<0.05). Conclusion: Coronary artery reconstruction and surgical patch angioplasty of the coronary artery can be performed for diffuse CAD. Patient outcomes were not significantly different from those of patients who underwent standard CABG. | ||
| 650 | 4 | |a Coronary Artery Disease | |
| 650 | 4 | |a Mammary Arteries | |
| 650 | 4 | |a Cardiopulmonary Bypass | |
| 650 | 4 | |a Retrospective Studies | |
| 650 | 4 | |a Follow-Up Studies | |
| 650 | 4 | |a Constriction | |
| 650 | 4 | |a Coronary Artery Bypass | |
| 650 | 4 | |a Angioplasty | |
| 650 | 4 | |a Myocardial Revascularization | |
| 650 | 4 | |a Prognosis | |
| 653 | 0 | |a Surgery | |
| 653 | 0 | |a Diseases of the circulatory (Cardiovascular) system | |
| 700 | 0 | |a Pengfei Guo |e verfasserin |4 aut | |
| 700 | 0 | |a Lei Chen |e verfasserin |4 aut | |
| 700 | 0 | |a Yang Wu |e verfasserin |4 aut | |
| 700 | 0 | |a Gang Wang |e verfasserin |4 aut | |
| 700 | 0 | |a Cangsong Xiao |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i In |t Brazilian Journal of Cardiovascular Surgery |d Sociedade Brasileira de Cirurgia Cardiovascular, 2004 |g 35(2020), 5, Seite 706-712 |w (DE-627)DOAJ000066753 |x 16789741 |7 nnns |
| 773 | 1 | 8 | |g volume:35 |g year:2020 |g number:5 |g pages:706-712 |
| 856 | 4 | 0 | |u https://doi.org/10.21470/1678-9741-2019-0390 |z kostenfrei |
| 856 | 4 | 0 | |u https://doaj.org/article/d5f953732762403b8d3f5cd2e563d9f7 |z kostenfrei |
| 856 | 4 | 0 | |u http://www.scielo.br/pdf/rbccv/v35n5/0102-7638-rbccv-2019-0390.pdf |z kostenfrei |
| 856 | 4 | 0 | |u http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382020000500017&tlng=en |z kostenfrei |
| 856 | 4 | 2 | |u https://doaj.org/toc/1678-9741 |y Journal toc |z kostenfrei |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_DOAJ | ||
| 912 | |a SSG-OLC-PHA | ||
| 951 | |a AR | ||
| 952 | |d 35 |j 2020 |e 5 |h 706-712 | ||