eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
3/2022
vol. 19
 
Share:
Share:
abstract:
Original paper

Sequential left internal mammary artery grafting in combination with the aortic no-touch technique

Ali Bulut
1
,
İlker İnce
2
,
Ümit Pınar Sungur
3
,
Murat Kurtoğlu
3
,
Uğursay Kızıltepe
4

  1. Department of Cardiovascular Surgery, Ahi Evran University, Kırşehir, Turkey
  2. Department of Cardiovascular Surgery, Ankara Dışkapı Yıldırım Beyazıt Research and Training Hospital, Ankara, Turkey
  3. Department of Cardiovascular Surgery, Ankara Güven Hospital, Ankara, Turkey
  4. Department of Cardiovascular Surgery, Health Sciences University, Istanbul, Turkey
Kardiochirugia i Torakochirurgia Polska 2022; 19 (3): 135-140
Online publish date: 2022/10/08
View full text Get citation
 
PlumX metrics:
Introduction
This study aimed to investigate the short-term outcomes achieved with off-pump bypass combined with the aortic no-touch technique where sequential anastomoses between the left internal mammary artery (LIMA), left anterior descending (LAD) and diagonal artery were employed.

Material and methods
A total of 583 patients (mean age 63, 80% male) who underwent off-pump bypass (LIMA-diagonal-LAD sequential) were enrolled in this retrospective analysis. Data regarding the frequency of in-hospital postoperative complications, intra-aortic balloon pump (IABP) and inotropic agent requirement, re-exploration for bleeding, and length of hospital stay were collected. Anastomosis patency was evaluated in 49 patients who underwent angiography.

Results
2.6% of the participants received inotropic agents and 0.5% required IABP. Frequency of acute renal failure, sternal wound infection, cerebrovascular event, respiratory failure, and hemodialysis was less than 1% in total. Among the 49 patients undergoing angiography at an average 41 ±17 months after bypass, the LIMA-LAD was patent in 98% and the LIMA-diagonal was patent in 84% of the subjects. Preoperative left ventricle ejection fraction (LVEF) and recent myocardial infarction (MI) prior to bypass were significantly correlated with postoperative IABP and inotropic agent requirement (r = 0.165, p < 0.01 for LVEF, p = 0.021 for recent MI).

Conclusions
Off-pump bypass in combination with the aortic no-touch technique is associated with favorable postoperative outcomes including reduced postoperative stroke, renal dysfunction, IABP, and inotropic agent requirement compared to the results of previous randomized prospective studies published in the literature.

keywords:

stroke, aortic no-touch, sequential grafting, off-pump coronary artery bypass graft

Quick links
© 2024 Termedia Sp. z o.o.
Developed by Bentus.