INCOMPLETE CORONARY REVASCULARIZATION AS AN INDEPENDENT RISK FACTOR OF OFF-PUMP CORONARY ARTERY BYPASS GRAFTING PROGNOSIS IN PATIENTS WITH ISCHEMIC HEART DISEASE

Currently, most researchers define the term complete coronary revascularization (CCR) as coronary arterial bypass graft (CABG) of at least one branch of each of the three affected coronary basins: left anterior descending artery (LAD) left circumflex artery (LCA) and right coronary artery RCA. The r...

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Autores principales:	V. A. Podkamenniy, D. I. Likhandi, Y. V. Zheltovsky, A. A. Sharavin, A. V. Vyrupaev
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	coronary artery bypass surgery remote outcomeы incomplete coronary revascularization Science Q
Acceso en línea:	https://doaj.org/article/1e6a0995f8474701a7b76ae0bd0e6cbc
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spelling	oai:doaj.org-article:1e6a0995f8474701a7b76ae0bd0e6cbc2021-11-23T06:14:37ZINCOMPLETE CORONARY REVASCULARIZATION AS AN INDEPENDENT RISK FACTOR OF OFF-PUMP CORONARY ARTERY BYPASS GRAFTING PROGNOSIS IN PATIENTS WITH ISCHEMIC HEART DISEASE2541-94202587-959610.12737/article_59a614f8afcde0.78457348https://doaj.org/article/1e6a0995f8474701a7b76ae0bd0e6cbc2017-04-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/615https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Currently, most researchers define the term complete coronary revascularization (CCR) as coronary arterial bypass graft (CABG) of at least one branch of each of the three affected coronary basins: left anterior descending artery (LAD) left circumflex artery (LCA) and right coronary artery RCA. The rejection of bypass of one or more diseased coronary basin is estimated as an incomplete coronary revascularization (ICR). Material and methods. This retrospective study included patients, underwent isolated coronary bypass operations from 2001 to 2014 in the Irkutsk Regional Hospital. 1418 patients underwent isolated off-pump bypass operations. ICR occurred in 469 patients, the CCR - in 949. All patients were divided into 2 groups: ICR group and CCR group. These groups were compared by the late survival and by the frequency of the major cardiac events (MACE). The results of study were assessed after 1, 5 and 10 years from the date of CABG. Results. Survival of patients of ICR group after 1,5,10 years after surgery was 98.5 %, 75.4 % and 75.4 % respectively, of CCR group of patients - 98.7 %, 88.7 % and 81.3 % (p = 0.006). In ICR group "free" from MACE after 1, 5 and 10 years after surgery were respectively 98.2 %, 70.8 % and 61.0 % of patients, while in CCR group those made 98.3 %, 84.6 % and 72,6 % (p = 0,007). We can conclude that incomplete revascularization can be defined as a prediction factor of worst long-term outcome results of CABG.V. A. PodkamenniyD. I. LikhandiY. V. ZheltovskyA. A. SharavinA. V. VyrupaevScientific Сentre for Family Health and Human Reproduction Problemsarticlecoronary artery bypass surgeryremote outcomeыincomplete coronary revascularizationScienceQRUActa Biomedica Scientifica, Vol 2, Iss 2, Pp 40-44 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	coronary artery bypass surgery remote outcomeы incomplete coronary revascularization Science Q
spellingShingle	coronary artery bypass surgery remote outcomeы incomplete coronary revascularization Science Q V. A. Podkamenniy D. I. Likhandi Y. V. Zheltovsky A. A. Sharavin A. V. Vyrupaev INCOMPLETE CORONARY REVASCULARIZATION AS AN INDEPENDENT RISK FACTOR OF OFF-PUMP CORONARY ARTERY BYPASS GRAFTING PROGNOSIS IN PATIENTS WITH ISCHEMIC HEART DISEASE
description	Currently, most researchers define the term complete coronary revascularization (CCR) as coronary arterial bypass graft (CABG) of at least one branch of each of the three affected coronary basins: left anterior descending artery (LAD) left circumflex artery (LCA) and right coronary artery RCA. The rejection of bypass of one or more diseased coronary basin is estimated as an incomplete coronary revascularization (ICR). Material and methods. This retrospective study included patients, underwent isolated coronary bypass operations from 2001 to 2014 in the Irkutsk Regional Hospital. 1418 patients underwent isolated off-pump bypass operations. ICR occurred in 469 patients, the CCR - in 949. All patients were divided into 2 groups: ICR group and CCR group. These groups were compared by the late survival and by the frequency of the major cardiac events (MACE). The results of study were assessed after 1, 5 and 10 years from the date of CABG. Results. Survival of patients of ICR group after 1,5,10 years after surgery was 98.5 %, 75.4 % and 75.4 % respectively, of CCR group of patients - 98.7 %, 88.7 % and 81.3 % (p = 0.006). In ICR group "free" from MACE after 1, 5 and 10 years after surgery were respectively 98.2 %, 70.8 % and 61.0 % of patients, while in CCR group those made 98.3 %, 84.6 % and 72,6 % (p = 0,007). We can conclude that incomplete revascularization can be defined as a prediction factor of worst long-term outcome results of CABG.
format	article
author	V. A. Podkamenniy D. I. Likhandi Y. V. Zheltovsky A. A. Sharavin A. V. Vyrupaev
author_facet	V. A. Podkamenniy D. I. Likhandi Y. V. Zheltovsky A. A. Sharavin A. V. Vyrupaev
author_sort	V. A. Podkamenniy
title	INCOMPLETE CORONARY REVASCULARIZATION AS AN INDEPENDENT RISK FACTOR OF OFF-PUMP CORONARY ARTERY BYPASS GRAFTING PROGNOSIS IN PATIENTS WITH ISCHEMIC HEART DISEASE
title_short	INCOMPLETE CORONARY REVASCULARIZATION AS AN INDEPENDENT RISK FACTOR OF OFF-PUMP CORONARY ARTERY BYPASS GRAFTING PROGNOSIS IN PATIENTS WITH ISCHEMIC HEART DISEASE
title_full	INCOMPLETE CORONARY REVASCULARIZATION AS AN INDEPENDENT RISK FACTOR OF OFF-PUMP CORONARY ARTERY BYPASS GRAFTING PROGNOSIS IN PATIENTS WITH ISCHEMIC HEART DISEASE
title_fullStr	INCOMPLETE CORONARY REVASCULARIZATION AS AN INDEPENDENT RISK FACTOR OF OFF-PUMP CORONARY ARTERY BYPASS GRAFTING PROGNOSIS IN PATIENTS WITH ISCHEMIC HEART DISEASE
title_full_unstemmed	INCOMPLETE CORONARY REVASCULARIZATION AS AN INDEPENDENT RISK FACTOR OF OFF-PUMP CORONARY ARTERY BYPASS GRAFTING PROGNOSIS IN PATIENTS WITH ISCHEMIC HEART DISEASE
title_sort	incomplete coronary revascularization as an independent risk factor of off-pump coronary artery bypass grafting prognosis in patients with ischemic heart disease
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/1e6a0995f8474701a7b76ae0bd0e6cbc
work_keys_str_mv	AT vapodkamenniy incompletecoronaryrevascularizationasanindependentriskfactorofoffpumpcoronaryarterybypassgraftingprognosisinpatientswithischemicheartdisease AT dilikhandi incompletecoronaryrevascularizationasanindependentriskfactorofoffpumpcoronaryarterybypassgraftingprognosisinpatientswithischemicheartdisease AT yvzheltovsky incompletecoronaryrevascularizationasanindependentriskfactorofoffpumpcoronaryarterybypassgraftingprognosisinpatientswithischemicheartdisease AT aasharavin incompletecoronaryrevascularizationasanindependentriskfactorofoffpumpcoronaryarterybypassgraftingprognosisinpatientswithischemicheartdisease AT avvyrupaev incompletecoronaryrevascularizationasanindependentriskfactorofoffpumpcoronaryarterybypassgraftingprognosisinpatientswithischemicheartdisease
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INCOMPLETE CORONARY REVASCULARIZATION AS AN INDEPENDENT RISK FACTOR OF OFF-PUMP CORONARY ARTERY BYPASS GRAFTING PROGNOSIS IN PATIENTS WITH ISCHEMIC HEART DISEASE

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