On-Pump versus Off-Pump complete arterial revascularisation using bilateral internal mammary arteries in T-graft technique : clinical and angiographic results in 3445 patients up to 13 years,Komplett arterielle Revaskularisation mithilfe beider Brustwandarterien in T-Graft Technik mit und ohne Herz-Lungen-Maschine : klinische und angiografische Resultate in 3445 Patienten nach bis zu 13 Jahren
Staats- und Universitätsbibliothek Hamburg Carl von Ossietzky
Erscheinungsjahr:
2017
Medientyp:
Text
Schlagworte:
CACABG
OPCAB
BIMA
610 Medizin, Gesundheit
44.65 Chirurgie
44.85 Kardiologie, Angiologie
Bypass
Angiographie
Herz
Sterblichkeit
Morbidität
ddc:610
Bypass
Angiographie
Herz
Sterblichkeit
Morbidität
Beschreibung:
Background: This is an investigation of complete arterial coronary artery bypass grafting (CACABG) using bilateral in- ternal mammary arteries (IMA) and the T-graft technique either on- or off-pump as a routine approach to treat coronary artery disease. Methods: Between January 2000 and December 2012, 3,445 patients underwent on-pump (n = 2,216) or off-pump (n = 1,229) CACABG. A 30-day follow-up was performed prospectively, a long-term follow-up by a questionnaire, and coronary angiography in selected patients. Results: End points at 30 days were death, myocardial infarction, stroke, repeat revascularization, renal replacement, reoperation, sternal wound infection and atrial fibrillation. FitzGibbon A patency rates were 89.8 vs. 91.4% (p = 0.464) with consecutive percutaneous coronary intervention in the grafted area of 1.8 vs. 1.1% (p = 0.693) on- vs. off-pump, and no reoperation in the grafted area in both groups. Conclusion: CACABG by use of skeletonized bilateral IMA with the T-graft technique performed either on- or off-pump is a safe and effective approach.