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首页> 外文期刊>Journal of cardiac surgery. >Mid-term outcome and angiographic follow-up of endarterectomy of the left anterior descending artery in patients undergoing coronary artery bypass surgery
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Mid-term outcome and angiographic follow-up of endarterectomy of the left anterior descending artery in patients undergoing coronary artery bypass surgery

机译：冠状动脉搭桥手术患者左前降支动脉内膜切除术的中期结果和血管造影随访

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Background and Aim With the advancement of percutaneous coronary interventions (PCIs), more patients with diffuse coronary artery disease are referred for coronary artery bypass graft (CABG) surgery. The use of coronary endarterectomy may be useful in such cases. We reviewed our experience with left anterior descending artery endarterectomy as an adjunct to conventional CABG. Methods Between June 2005 and 2011, 58 consecutive patients underwent left anterior descending artery endarterectomy as an adjunct to CABG. These were matched to 58 cases based on age, gender, and Parsonnet score. All data were collected prospectively in a departmental database. Postoperative complications and in-hospital mortality were analyzed. Survival curves were produced. Results There was one death in the endarterectomy group (1.7%) from liver failure. There was no significant difference in postoperative complications (especially perioperative myocardial infarction) between the two groups with similar hospital mortality. Computed tomography (CT) angiography was performed in 24 patients with endarterectomy (41%), which showed 100% patency of the left internal mammary artery graft to the left anterior descending artery. Survival and freedom from intervention at a mean follow-up of 4.2 years were similar. Conclusions In patients with diffuse disease, the use of endarterectomy is a safe technique with no increase in short-term morbidity or mortality. Mid-term results are similar to nonendarterectomized patients. This technique is useful in patients with diffuse coronary artery disease.
机译：背景与目的随着经皮冠状动脉介入治疗（PCIs）的发展，越来越多的弥漫性冠状动脉疾病患者被转诊为冠状动脉搭桥术（CABG）。在这种情况下，冠状动脉内膜切除术可能有用。我们回顾了左前降支动脉内膜切除术作为常规CABG辅助手术的经验。方法2005年6月至2011年间，连续58例患者接受了左前降支动脉内膜切除术作为CABG的辅助治疗。根据年龄，性别和Parsonnet评分将其与58例患者相匹配。所有数据均前瞻性地收集在部门数据库中。分析术后并发症和住院死亡率。产生生存曲线。结果动脉内膜切除术组有1例因肝衰竭死亡（1.7％）。两组医院死亡率相似的术后并发症（特别是围手术期心肌梗死）无显着差异。在24例行动脉内膜切除术的患者中进行了计算机断层扫描（CT）血管造影（41％），显示左乳内动脉移植物至左前降支的通畅率为100％。平均随访4.2年的生存率和免于干预的情况相似。结论在弥漫性疾病患者中，使用动脉内膜切除术是一种安全的技术，不会增加短期发病率或死亡率。中期结果与非内膜切除术患者相似。该技术对患有弥漫性冠状动脉疾病的患者很有用。

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