Exclusive coronary revascularization with both mammary arteries. Analysis of 73 patients
Exclusive coronary revascularization with both mammary arteries could result in lower rates of adverse events in the long term. To describe the five-year evolution of a cohort of patients operated on with this technique. Follow up analyzing survival of 73 patients aged 59 ± 9 years (82% men) who und...
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| Veröffentlicht in: | Revista medíca de Chile 2019-06, Vol.147 (6), p.718-726 |
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| creator | Seguel S, Enrique Stockins L, Aleck González L, Roberto Vera-Calzaretta, Aldo González-Burboa, Alexis Hidalgo B, Alejandro |
| description | Exclusive coronary revascularization with both mammary arteries could result in lower rates of adverse events in the long term.
To describe the five-year evolution of a cohort of patients operated on with this technique.
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.
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%.
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. |
| doi_str_mv | 10.4067/S0034-98872019000600718 |
| format | Article |
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To describe the five-year evolution of a cohort of patients operated on with this technique.
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.
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%.
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.</description><identifier>EISSN: 0717-6163</identifier><identifier>DOI: 10.4067/S0034-98872019000600718</identifier><identifier>PMID: 31859824</identifier><language>spa</language><publisher>Chile</publisher><subject>Aged ; Anastomosis, Surgical - methods ; Anastomosis, Surgical - mortality ; Female ; Follow-Up Studies ; Humans ; Internal Mammary-Coronary Artery Anastomosis - methods ; Internal Mammary-Coronary Artery Anastomosis - mortality ; Kaplan-Meier Estimate ; Male ; Mammary Arteries - surgery ; Middle Aged ; Postoperative Complications - mortality ; Reproducibility of Results ; Risk Factors ; Time Factors ; Treatment Outcome</subject><ispartof>Revista medíca de Chile, 2019-06, Vol.147 (6), p.718-726</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27907,27908</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31859824$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seguel S, Enrique</creatorcontrib><creatorcontrib>Stockins L, Aleck</creatorcontrib><creatorcontrib>González L, Roberto</creatorcontrib><creatorcontrib>Vera-Calzaretta, Aldo</creatorcontrib><creatorcontrib>González-Burboa, Alexis</creatorcontrib><creatorcontrib>Hidalgo B, Alejandro</creatorcontrib><title>Exclusive coronary revascularization with both mammary arteries. Analysis of 73 patients</title><title>Revista medíca de Chile</title><addtitle>Rev Med Chil</addtitle><description>Exclusive coronary revascularization with both mammary arteries could result in lower rates of adverse events in the long term.
To describe the five-year evolution of a cohort of patients operated on with this technique.
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.
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%.
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.</description><subject>Aged</subject><subject>Anastomosis, Surgical - methods</subject><subject>Anastomosis, Surgical - mortality</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Internal Mammary-Coronary Artery Anastomosis - methods</subject><subject>Internal Mammary-Coronary Artery Anastomosis - mortality</subject><subject>Kaplan-Meier Estimate</subject><subject>Male</subject><subject>Mammary Arteries - surgery</subject><subject>Middle Aged</subject><subject>Postoperative Complications - mortality</subject><subject>Reproducibility of Results</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0717-6163</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kD1PwzAYhC0kREvhL4BHlpTXduLYY1WVD6kSAyCxRY77WhglcbGTQvn1pKIsd8tzJ90Rcs1gnoMsb58BRJ5ppUoOTAOABCiZOiHT0cpMMikm5DylDwBeSqbOyEQwVWjF8yl5W33bZkh-h9SGGDoT9zTiziQ7NCb6H9P70NEv37_TOozSmrY9MCb2GD2mOV10ptknn2hwtBR0Oyaw69MFOXWmSXh59Bl5vVu9LB-y9dP943KxzrYsZ33mGOraWWsE5NoqdBqFLjAvgEvOQYM2Bh0yUE5YJYUb13FdFKLeCGDCihm5-evdxvA5YOqr1ieLTWM6DEOquOC65Hq8ZkSvjuhQt7ipttEftlT_b4hfih1hpQ</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Seguel S, Enrique</creator><creator>Stockins L, Aleck</creator><creator>González L, Roberto</creator><creator>Vera-Calzaretta, Aldo</creator><creator>González-Burboa, Alexis</creator><creator>Hidalgo B, Alejandro</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201906</creationdate><title>Exclusive coronary revascularization with both mammary arteries. Analysis of 73 patients</title><author>Seguel S, Enrique ; Stockins L, Aleck ; González L, Roberto ; Vera-Calzaretta, Aldo ; González-Burboa, Alexis ; Hidalgo B, Alejandro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-f1e9bfcca3049c8ef9e395e45026220909aaefe108f3c863f06029553bd3013c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Anastomosis, Surgical - methods</topic><topic>Anastomosis, Surgical - mortality</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Internal Mammary-Coronary Artery Anastomosis - methods</topic><topic>Internal Mammary-Coronary Artery Anastomosis - mortality</topic><topic>Kaplan-Meier Estimate</topic><topic>Male</topic><topic>Mammary Arteries - surgery</topic><topic>Middle Aged</topic><topic>Postoperative Complications - mortality</topic><topic>Reproducibility of Results</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seguel S, Enrique</creatorcontrib><creatorcontrib>Stockins L, Aleck</creatorcontrib><creatorcontrib>González L, Roberto</creatorcontrib><creatorcontrib>Vera-Calzaretta, Aldo</creatorcontrib><creatorcontrib>González-Burboa, Alexis</creatorcontrib><creatorcontrib>Hidalgo B, Alejandro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revista medíca de Chile</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seguel S, Enrique</au><au>Stockins L, Aleck</au><au>González L, Roberto</au><au>Vera-Calzaretta, Aldo</au><au>González-Burboa, Alexis</au><au>Hidalgo B, Alejandro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exclusive coronary revascularization with both mammary arteries. Analysis of 73 patients</atitle><jtitle>Revista medíca de Chile</jtitle><addtitle>Rev Med Chil</addtitle><date>2019-06</date><risdate>2019</risdate><volume>147</volume><issue>6</issue><spage>718</spage><epage>726</epage><pages>718-726</pages><eissn>0717-6163</eissn><abstract>Exclusive coronary revascularization with both mammary arteries could result in lower rates of adverse events in the long term.
To describe the five-year evolution of a cohort of patients operated on with this technique.
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.
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%.
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.</abstract><cop>Chile</cop><pmid>31859824</pmid><doi>10.4067/S0034-98872019000600718</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Anastomosis, Surgical - methods Anastomosis, Surgical - mortality Female Follow-Up Studies Humans Internal Mammary-Coronary Artery Anastomosis - methods Internal Mammary-Coronary Artery Anastomosis - mortality Kaplan-Meier Estimate Male Mammary Arteries - surgery Middle Aged Postoperative Complications - mortality Reproducibility of Results Risk Factors Time Factors Treatment Outcome |
| title | Exclusive coronary revascularization with both mammary arteries. Analysis of 73 patients |
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