PMID- 31006022
OWN - NLM
STAT- MEDLINE
DCOM- 20200203
LR  - 20200203
IS  - 1569-9285 (Electronic)
IS  - 1569-9285 (Linking)
VI  - 29
IP  - 3
DP  - 2019 Sep 1
TI  - Does the site of coronary endarterectomy have an impact on the clinical outcomes 
      and graft patency?
PG  - 402-408
LID - 10.1093/icvts/ivz099 [doi]
AB  - OBJECTIVES: To explore whether coronary endarterectomy (CE) sites have obvious 
      impacts on the clinical outcomes and graft patency in off-pump coronary artery 
      bypass (OPCAB). METHODS: The patients who underwent OPCAB with CE in our unit 
      between January 2009 and December 2016 were included. The patients and the grafts 
      were grouped according to the CE sites. The primary end points were mid-term main 
      adverse cardiovascular and cerebrovascular events. RESULTS: In total, 290 
      patients who underwent OPCAB with CE were included. CE of the left anterior 
      descending artery (LAD), left circumflex artery and the right coronary artery was 
      performed in 46, 30 and 194 patients, respectively. There were 60, 42 and 217 
      grafts anastomosed to LAD-CE, left circumflex artery-CE and right coronary 
      artery-CE sites in 290 patients. CE was not performed in the 20 patients 
      requiring multivessel CE. There was no significant difference in perioperative 
      outcomes. The average follow-up time was 51 months (12-103 months). There was no 
      significant difference in mid-term death, main adverse cardiovascular and 
      cerebrovascular events, myocardial infarction (MI), stroke, Canadian 
      Cardiovascular Classification for angina class and 1-year graft patency among the 
      3 groups. However, the rate of New York Heart Association (NYHA) class III or IV 
      (LAD vs left circumflex artery: 59% vs 25%, P = 0.011; LAD vs right coronary 
      artery: 59% vs 27%, P < 0.001) was higher in the LAD group than in the other 
      groups. These results were consistent with the Kaplan-Meier curves of freedom 
      from the adverse events. CONCLUSIONS: CE sites had no obvious impact on mid-term 
      death, main adverse cardiovascular and cerebrovascular events, MI, stroke, 
      Canadian Cardiovascular Classification for angina class and 1-year graft patency 
      in patients who underwent OPCAB with CE. The patients undergoing LAD-CE had 
      higher rates of NYHA class III or IV.
CI  - (c) The Author(s) 2019. Published by Oxford University Press on behalf of the 
      European Association for Cardio-Thoracic Surgery. All rights reserved.
FAU - Zhu, Pengxiong
AU  - Zhu P
AD  - Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University 
      School of Medicine, Shanghai, China.
FAU - Ye, Xiaofeng
AU  - Ye X
AD  - Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University 
      School of Medicine, Shanghai, China.
FAU - Chen, Anqing
AU  - Chen A
AD  - Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University 
      School of Medicine, Shanghai, China.
FAU - Liu, Jun
AU  - Liu J
AD  - Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University 
      School of Medicine, Shanghai, China.
FAU - Wang, Zhe
AU  - Wang Z
AD  - Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University 
      School of Medicine, Shanghai, China.
FAU - Zhou, Mi
AU  - Zhou M
AD  - Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University 
      School of Medicine, Shanghai, China.
FAU - Zhao, Qiang
AU  - Zhao Q
AD  - Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University 
      School of Medicine, Shanghai, China.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Interact Cardiovasc Thorac Surg
JT  - Interactive cardiovascular and thoracic surgery
JID - 101158399
SB  - IM
MH  - Aged
MH  - *Blood Vessel Prosthesis
MH  - Coronary Angiography
MH  - Coronary Artery Bypass, Off-Pump/*methods
MH  - Coronary Artery Disease/diagnosis/*surgery
MH  - Coronary Vessels/diagnostic imaging/physiopathology/*surgery
MH  - Endarterectomy/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Treatment Outcome
MH  - Vascular Patency/*physiology
OTO - NOTNLM
OT  - Coronary artery disease
OT  - Endarterectomy
OT  - Graft patency
OT  - Off-pump coronary bypass grafting
EDAT- 2019/04/22 06:00
MHDA- 2020/02/06 06:00
CRDT- 2019/04/22 06:00
PHST- 2018/10/25 00:00 [received]
PHST- 2019/03/13 00:00 [revised]
PHST- 2019/03/17 00:00 [accepted]
PHST- 2019/04/22 06:00 [pubmed]
PHST- 2020/02/06 06:00 [medline]
PHST- 2019/04/22 06:00 [entrez]
AID - 5475798 [pii]
AID - 10.1093/icvts/ivz099 [doi]
PST - ppublish
SO  - Interact Cardiovasc Thorac Surg. 2019 Sep 1;29(3):402-408. doi: 
      10.1093/icvts/ivz099.