TEMPORARY INTRALUMINAL SHUNTING UNDER CONDITIONS OF A PARALLEL CARDIOPULMONARY BYPASS
https://doi.org/10.21886/2219-8075-2016-1-72-76
Abstract
Purpose: to study the effect of application of intraluminal coronary bypass grafts on the intra- and early postoperative periods in patients with coronary artery disease, who underwent a direct myocardial revascularization under conditions of a parallel cardiopulmonary bypass.
Material and methods: the study included patients with multiple lesions of coronary arteries with an ejection fraction 51,2% ± 5,3. The patients were randomised into 2 groups: in the first group (n = 41) the cardiopulmonary bypass operation was accompanied by using intraluminal coronary grafts; in the second group (n = 52) - without this procedure. The superior effectiveness of the graft procedure was assessed by lesser changes in ST-segment of ECG during and after the operation, fluctuations in cardiac index, the value of the plasma fraction of cardiac creatine phosphokinase, and a number of complications during the intra-and postoperative periods.
Summary: based on these data it was concluded the advantage of application of intraluminal coronary bypass grafts with direct revascularization in parallel artificial circulation.
About the Authors
R. V. Sidorov
Rostov State Medical University, Russia, 433022, Rostov-on-Don, lane Nakhichevansky, 29
Russian Federation
Russian Federation
A. A. Petyaev
Rostov State Medical University, Russia, 433022, Rostov-on-Don, lane Nakhichevansky, 29
Russian Federation
Russian Federation
A. M. Petyaev
Rostov State Medical University, Russia, 433022, Rostov-on-Don, lane Nakhichevansky, 29
Russian Federation
Russian Federation
D. Y. Pospelov
Rostov State Medical University, Russia, 433022, Rostov-on-Don, lane Nakhichevansky, 29
Russian Federation
Russian Federation
N. S. Doltmurzieva
Rostov State Medical University, Russia, 433022, Rostov-on-Don, lane Nakhichevansky, 29
Russian Federation
Russian Federation
V. N. Shchetko
Rostov State Medical University, Russia, 433022, Rostov-on-Don, lane Nakhichevansky, 29
Russian Federation
Russian Federation
References
1. Белов Ю.В. Коронарное шунтирование через миниторакотомию на работающем сердце без искусственного кровообращения // Кардиология. – 1998. – №8. – С. 12-7.
2. Жбанов И.В., Шабалкин Б.В. Повторная реваскуляризация миокарда: современное состояние проблемы. // Грудная и сердечно-сосудистая хирургия. – 2001. -№ – 2. – С. 27-31.
3. Шнейдер Ю.А., Толкачев В.В., Жорин С.П. Множественная аутоартериальная реваскуляризация миокарда на работающем сердце // Шестой Всероссийский съезд сердечно-сосудистых хирургов. Тезисы. – 2000. – С. 162.
4. Морозов Ю.А., Чарная М.А. Влияние условий искусственного кровообращения на развитие почечной дисфункции // Центрально-азиатский журнал сердечно-сосудистой хирургии. – 2009. – № 4. – С. 172.
5. Folliguet T.A., Philippe F., Larrazet F., Dibie A., Czitrom D., Le Bret E, Bachet J., Laborde F. Beating heart revascularization with minimal extracorporeal circulation in patients with a poor ejection fraction // Heart Surgery Forum. – 2002. – Vol. 6 (1). – P. 19-23.
6. Бокерия Л.А., Беришвили И.И., Сигаев И.Ю. Реваскуляризация миокарда: меняющиеся подходы и пути развития // Грудная и сердечно-сосудистая хирургия. – 1999. – № 6. – С. 102 – 112.
7. Acuff T.E., Cheng D., Kelley I. et al. Right ventricular support improves systemic hemodynamics during beating heart surgery the ABACAB trial // Annual Meeting of the European association for cardio-thoracic surgery, 16-th. – Monaco, 2000.
8. Buffolo E., Cerola L. Coronary artery bypass grafting without cardiopulmonary through sternotomy and minimally invasive procedure // Int. J. Cardiol. – 1997. – № 8. – P. 89 – 93.
9. Gaudino M., Glieca F., Alessandrini F., Nasso G., Pragliola C., Luciani N., High risk coronary artery bypass patient: incidence, surgical strategies, and results // Ann. Thorac. Surg. – 2004. – Vol. 77. – P. 574-580.
10. Mishra M., Malhotra R., Mishra A. et al. Hemodynamic changes during displacement of the beating heart using epicardial stabilization for off-pump coronary artery bypass graft surgery // J. Cardio-thorac. Surg. – 2002. – Vol. 16 (6). – P. 685 – 690.
11. Izumi Y., Magishi K., Ishikawa N., Kimura F. On-pump beatingheart coronary artery bypass grafting for acute myocardial infarction // Ann Thorac Surg. – 2006. – Vol. 81 (2). – P. 573-576.
12. Жбанов И.В., Сидоров Р.В. Тактика коронарного шунтирования больных ИБС с различной степенью хирургического риска // Медицинский вестник Юга России. – 2015. – № 4. – С. 35-41.
13. Бурмистрова И.В. Защита миокарда при операциях минимально -инвазивного коронарного шунтирования. // Дисс. канд. мед. наук. М., 2001.
14. Rivetti L.A., Gandra S.M. Initial experience using an intraluminal shunt during revascularization on the beating heart // Ann. Thorac. Surg. – 1997. – V. 63, №6. – P. 1742-1747.
15. Yeatman M., Caputo M., Narayan P. et al. Intracoronary shunts reduce transient intraoperative myocardial dysfunction during off-pump operations // Ann. Thorac. Surg. – 2002. – V. 73. – P. 1411 – 1417.
16. Luccheti V., Capasso F., Caputo F., et al. Intracoronary shunt prevents left ventricular function impairment during beating heart coronary revascularization // Eur. J. Cardio-thorac. Surg. – 1999. – V.15. – P. 255- 259.
Review
For citations:
Sidorov R.V., Petyaev A.A., Petyaev A.M., Pospelov D.Y., Doltmurzieva N.S., Shchetko V.N. TEMPORARY INTRALUMINAL SHUNTING UNDER CONDITIONS OF A PARALLEL CARDIOPULMONARY BYPASS. Medical Herald of the South of Russia. 2016;(1):72-76. (In Russ.) https://doi.org/10.21886/2219-8075-2016-1-72-76
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