Results of hospital bypass angiography in patients with coronary artery disease undergoing arterial and vein myocardial revascularization.
This paper analyzes the results of 94 coronary artery bypass grafts accomplished at the Department of Surgical Treatment of Concomitant Lesions of Coronary and Peripheral Arteries, A.N. Bakulev SCCVS, RAMS, in patients with coronary artery disease (CAD) provided control hospital bypass angiography over the period 1998 to 2002. Control bypass angiography revealed thrombosis of 11.7% of vein and of 1.5% of arterial grafts. The main causes of vein graft thromboses were: bypass grafting of small coronary arteries, that of the coronary arteries with so-called 'immature' stenoses, and mediastinitis. The data presented herein evidence that hospital arterial bypass graft provides for a considerably higher percentage of competence versus vein bypass graft. Hospital bypass angiography is essentially safe while its findings allow to make a detailed analysis of complications whereby upgrading the efficacy of operations.
Bokeriia
L A
LA
A.N.Bakulev Scientific Center of Cardiovascular Surgery, Academy of Mecial Sciences, Moscow, Russia.
Sigaev
I Iu
IIu
Katsiia
G V
GV
Berishvili
I I
II
Piskun
A V
AV
Buziashvili
Iu I
IuI
Alekian
B G
BG
Chigogidze
N A
NA
D001158:Arteries / Q000637:transplantation; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000379:methods; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular; D006801:Humans; D015994:Incidence; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D017534:Radial Artery / Q000637:transplantation; D013927:Thrombosis / Q000209:etiology; D013997:Time Factors; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014654:Vascular Patency; D014680:Veins / Q000637:transplantation; D020246:Venous Thrombosis / Q000209:etiology