Results of Adjunctive Coronary Endarterectomy in 548 Patients

2008 ◽  
Vol 11 (2) ◽  
pp. E66-E70 ◽  
Author(s):  
Serdar Akgun ◽  
C. Selim Isbir ◽  
Tekin Yildirim ◽  
Ali Civelek ◽  
Sinan Arsan
Keyword(s):  
Coronary Endarterectomy

Early Outcomes of Coronary Endarterectomy in Patients Undergoing Coronary Artery Bypass Surgery

2016 ◽  
Vol 19 (2) ◽  
pp. 059
Author(s):  
Amin Bagheri ◽  
Ahmad Masoumi ◽  
Jamshid Bagheri
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Adverse Outcomes ◽  
Supraventricular Arrhythmia ◽  
Coronary Endarterectomy ◽  
Early Results ◽  
The Impact

<strong>Background:</strong> Coronary endarterectomy (CE) is performed as an adjunct to coronary artery bypass surgery (CABG); however, the efficacy of this technique is still controversial. We aimed to evaluate the impact of CE combined with CABG when compared with isolated CABG.<br /><strong>Methods:</strong> Patients who underwent CABG between July 2007 and June 2014 were included. 70 of 2452 patients (2.8%) underwent CE in addition to CABG. Early results were compared with isolated CABG and predictors of adverse outcome were measured in stepwise multivariate logistic regression analyses.<br /><strong>Results:</strong> The incidence of comorbidities including prior myocardial infarction, diabetes mellitus, and three-vessel coronary disease in CE patients was higher; however, mortality (4.3% versus control 3.6%; P = .762) and postoperative complications were not significantly increased in this group of patients (except supraventricular arrhythmia). Although age greater than 70 years, impaired ejection fraction, intraoperative intraaortic balloon pump, and prolonged cardiopulmonary bypass time were important predictors of adverse outcomes, CE was not associated with increased mortality or postoperative morbidities. <br /><strong>Conclusion:</strong> Despite the higher risk profile of patients who underwent CE, this technique was not identified as an independent risk factor for adverse postoperative outcomes.

OC17 CORONARY ENDARTERECTOMY

2018 ◽  
Vol 19 ◽  
pp. e24
Author(s):  
P. Nardi ◽  
M. Russo ◽  
G. Saitto ◽  
F. Bertoldo ◽  
C. Pisano ◽  
...  
Keyword(s):  
Coronary Endarterectomy

Coronary endarterectomy in coronary artery disease: Factors affecting graft patency and survival

2021 ◽  
pp. 021849232110068
Author(s):  
Simon CY Chow ◽  
Jacky YK Ho ◽  
Micky WT Kwok ◽  
Takuya Fujikawa ◽  
Kevin Lim ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Graft Patency ◽  
Complete Revascularization ◽  
Coronary Endarterectomy ◽  
Factors Affecting ◽  
Early Results ◽  
Cerebrovascular Events ◽  
Obtuse Marginal ◽  
One Year

Background Coronary endarterectomy aims to improve completeness of revascularization in patients with occluded coronary vessels. The benefits of coronary endarterectomy remain uncertain. The aim of this study was to evaluate short-term surgical outcomes and factors affecting graft patency post-coronary endarterectomy. Methods Between 2009 and 2019, 81 consecutive patients who had coronary endarterectomy done were evaluated for their perioperative and early results. A total of 36 patients with follow-up coronary studies were included in patency analysis. Mortality rates, major adverse cardiac and cerebrovascular events, and graft patency were outcomes of interest. Survival and risk factor analysis were performed with Kaplan–Meier and logistic regression analysis. Results The average age of the cohort was 61.9 ± 9.29 years. Complete revascularization rate was 95.4% post-coronary endarterectomy. The 30-day and 1-year mortality was 2.5 and 6.2%, respectively. One-year major adverse cardiac and cerebrovascular events rate was 11.1%. Periprocedural myocardial infarction rate was 7.4%. Three patients required repeat revascularization within a mean follow-up duration of 49.6 ± 36.5 months. Overall graft patency was 89.2% at 20.2 months and graft patency post-coronary endarterectomy was 85.4%. Arterial grafts showed 100% patency. Vein grafts to endarterectomized obtuse marginal branch had patency rates of 33.3%. Multiple endarterectomies were associated with worse one-year major adverse cardiac and cerebrovascular events (OR: 28.6 ± 1.16; P = 0.003). Conclusions Coronary endarterectomy facilitates completeness of revascularization and does not increase early mortality. Graft patency post-coronary endarterectomy on obtuse marginal artery was suboptimal. Judicious use of coronary endarterectomy should be practiced to balance the need of completeness of revascularization against the risk of myocardial infarction.

Controversial aspects of coronary endarterectomy

1989 ◽  
Vol 48 (2) ◽  
pp. 235-241 ◽  
Author(s):  
C. Minale ◽  
S. Nikol ◽  
M. Zander ◽  
R. Uebis ◽  
S. Effert ◽  
...  
Keyword(s):  
Coronary Endarterectomy

scholarly journals Coronary Endarterectomy for Diffuse Coronary Artery Disease in a Bangladeshi Population Cohort

1970 ◽  
Vol 6 (2) ◽  
pp. 70-73
Author(s):  
Masoom Siraj ◽  
Md Hamidur Rahman ◽  
Md Sharif Hassan
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Selection Criteria ◽  
Artery Bypass ◽  
Poor Quality ◽  
Coronary Endarterectomy ◽  
Diffuse Coronary Artery Disease ◽  
Operative Outcome ◽  
Artery Disease ◽  
Bangladeshi Population

Coronary artery bypass grafting (CABG) is a well established treatment modality for coronary artery disease (CAD). However with the trend towards aggressive per cutaneous interventions (PCI) by the cardiologists, more and more patients with poor quality, diffusely diseased coronary arteries are coming for CABG. Quite often these arteries require endarterectomy to ensure revascularisation. Initial experience world wide with coronary endarterectomy was bad enough for many surgeons not advocating it. However recent papers have shown greatly improved results.This was a retrospective study of five hundred consecutive patients undergoing CABG between 19th August 2006 and 1st of July 2008 at Ibrahim Cardiac Hospital and Research Institute (ICHRI). Pre-operative and Intra-operative variables which could influence outcome were analysed. Of the total patients who had at least one endarterectomy done were labeled as Endarterectomy (EA) group, while patients without endarterectomy were labeled as Control group.Post operative outcome showed results comparable to CABG without endarterectomy can be achieved. We have described our selection criteria and surgical technique. Our protocol did not bring about a statistically significant increase in bypass time, cross clamp time. It also did not change the number of grafts per patient.Our experience shows coronary endarterectomy can be done in order to achieve full revascularisation with very safe and acceptable outcome.Key words: CABG; Coronary endarterectomy DOI: 10.3329/uhj.v6i2.7247University Heart Journal Vol. 6, No. 2, July 2010 pp.70-73

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