Resultados a 5 años de la revascularización exclusiva con dos arterias mamarias en pacientes con enfermedad coronaria multivaso

Background: Exclusive coronary revascularization with both mammary arteries could result in lower rates of adverse events in the long term. Aim: To describe the five-year evolution of a cohort of patients operated on with this technique. Material and Methods: Follow up analyzing survival of 73 pa...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Seguel S.,Enrique, Stockins L.,Aleck, González L.,Roberto, Vera-Calzaretta,Aldo, González-Burboa,Alexis, Hidalgo B.,Alejandro
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2019
Materias:	Cardiovascular Surgical Procedures Coronary Artery Bypass Mammary Arteries Coronary Disease
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000600718
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872019000600718
record_format	dspace
spelling	oai:scielo:S0034-988720190006007182019-08-28Resultados a 5 años de la revascularización exclusiva con dos arterias mamarias en pacientes con enfermedad coronaria multivasoSeguel S.,EnriqueStockins L.,AleckGonzález L.,RobertoVera-Calzaretta,AldoGonzález-Burboa,AlexisHidalgo B.,Alejandro Cardiovascular Surgical Procedures Coronary Artery Bypass Mammary Arteries Coronary Disease Background: Exclusive coronary revascularization with both mammary arteries could result in lower rates of adverse events in the long term. Aim: To describe the five-year evolution of a cohort of patients operated on with this technique. Material and Methods: Follow up analyzing survival of 73 patients aged 59 ± 9 years (82% men) who underwent exclusive coronary surgery with two mammary arteries between December 1,2010 and April 12,2017. We studied their clinical characteristics, surgical results, operative morbidity and mortality and adverse events up to June 30, 2018. Results: Six patients had two-vessel lesions and 67 three-vessel lesions. The operative risk calculated by additive and logistic EuroSCORE was 2.5 and 2.3%, respectively. A mean of 3.75 anastomoses /patient were performed, 116 with left mammary artery (73 to the anterior descending artery, 38 to a diagonal artery and 5 for other objectives) and 158 with right mammary artery (69 to a first marginal artery, 23 to a second marginal artery and 64 to posterior descending artery). There was one case of mediastinitis and one (1.5%) patient died. The mean follow-up was 64.6 ± 23.7 months. The 5-year survival was 90.4%. Conclusions: Coronary revascularization with two exclusive mammary arteries allowed a complete revascularization of the heart with a low rate of complications and adverse effects at five years.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.6 20192019-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000600718es10.4067/S0034-98872019000600718
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cardiovascular Surgical Procedures Coronary Artery Bypass Mammary Arteries Coronary Disease
spellingShingle	Cardiovascular Surgical Procedures Coronary Artery Bypass Mammary Arteries Coronary Disease Seguel S.,Enrique Stockins L.,Aleck González L.,Roberto Vera-Calzaretta,Aldo González-Burboa,Alexis Hidalgo B.,Alejandro Resultados a 5 años de la revascularización exclusiva con dos arterias mamarias en pacientes con enfermedad coronaria multivaso
description	Background: Exclusive coronary revascularization with both mammary arteries could result in lower rates of adverse events in the long term. Aim: To describe the five-year evolution of a cohort of patients operated on with this technique. Material and Methods: Follow up analyzing survival of 73 patients aged 59 ± 9 years (82% men) who underwent exclusive coronary surgery with two mammary arteries between December 1,2010 and April 12,2017. We studied their clinical characteristics, surgical results, operative morbidity and mortality and adverse events up to June 30, 2018. Results: Six patients had two-vessel lesions and 67 three-vessel lesions. The operative risk calculated by additive and logistic EuroSCORE was 2.5 and 2.3%, respectively. A mean of 3.75 anastomoses /patient were performed, 116 with left mammary artery (73 to the anterior descending artery, 38 to a diagonal artery and 5 for other objectives) and 158 with right mammary artery (69 to a first marginal artery, 23 to a second marginal artery and 64 to posterior descending artery). There was one case of mediastinitis and one (1.5%) patient died. The mean follow-up was 64.6 ± 23.7 months. The 5-year survival was 90.4%. Conclusions: Coronary revascularization with two exclusive mammary arteries allowed a complete revascularization of the heart with a low rate of complications and adverse effects at five years.
author	Seguel S.,Enrique Stockins L.,Aleck González L.,Roberto Vera-Calzaretta,Aldo González-Burboa,Alexis Hidalgo B.,Alejandro
author_facet	Seguel S.,Enrique Stockins L.,Aleck González L.,Roberto Vera-Calzaretta,Aldo González-Burboa,Alexis Hidalgo B.,Alejandro
author_sort	Seguel S.,Enrique
title	Resultados a 5 años de la revascularización exclusiva con dos arterias mamarias en pacientes con enfermedad coronaria multivaso
title_short	Resultados a 5 años de la revascularización exclusiva con dos arterias mamarias en pacientes con enfermedad coronaria multivaso
title_full	Resultados a 5 años de la revascularización exclusiva con dos arterias mamarias en pacientes con enfermedad coronaria multivaso
title_fullStr	Resultados a 5 años de la revascularización exclusiva con dos arterias mamarias en pacientes con enfermedad coronaria multivaso
title_full_unstemmed	Resultados a 5 años de la revascularización exclusiva con dos arterias mamarias en pacientes con enfermedad coronaria multivaso
title_sort	resultados a 5 años de la revascularización exclusiva con dos arterias mamarias en pacientes con enfermedad coronaria multivaso
publisher	Sociedad Médica de Santiago
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000600718
work_keys_str_mv	AT seguelsenrique resultadosa5anosdelarevascularizacionexclusivacondosarteriasmamariasenpacientesconenfermedadcoronariamultivaso AT stockinslaleck resultadosa5anosdelarevascularizacionexclusivacondosarteriasmamariasenpacientesconenfermedadcoronariamultivaso AT gonzalezlroberto resultadosa5anosdelarevascularizacionexclusivacondosarteriasmamariasenpacientesconenfermedadcoronariamultivaso AT veracalzarettaaldo resultadosa5anosdelarevascularizacionexclusivacondosarteriasmamariasenpacientesconenfermedadcoronariamultivaso AT gonzalezburboaalexis resultadosa5anosdelarevascularizacionexclusivacondosarteriasmamariasenpacientesconenfermedadcoronariamultivaso AT hidalgobalejandro resultadosa5anosdelarevascularizacionexclusivacondosarteriasmamariasenpacientesconenfermedadcoronariamultivaso
_version_	1718437067163172864

Resultados a 5 años de la revascularización exclusiva con dos arterias mamarias en pacientes con enfermedad coronaria multivaso

Ejemplares similares