T he worse long term outcome observed after percutaneous transluminal coronary angioplasty (PTCA) than after coronary artery bypass grafting (CABG) in patients at high risk of restenosis and disease progression such as diabetics, remind us that there is a substantial difference between treating a focal lesion with percutaneous coronary intervention and the use of arterial or vein grafts which b...

OBJECTIVE To review and summarize the early outcomes and clinical experience of coronary endarterectomy (CE) and bypass grafting without cardiopulmonary bypass for patients with diffused coronary artery disease. METHODS From May 2003 to May 2005, 53 patients with diffused coronary artery disease underwent CE and bypass grafting without cardiopulmonary bypass. There were 41 males and 12 female...

background: obstructive sleep apnea (osa) is very frequent and often unrecognized in surgical patients. osa is associated with perioperative complications. we evaluated the effects of osa on postoperative complications and hospital outcomes in patients undergoing coronary artery bypass graft (cabg) surgery. methods: candidates of elective cabg were evaluated by the berlin questionnaire for osa....

Calcified coronary arteries can cause severe cardiac problems and may provoke an infarction of the heart’s wall. An established treatment method is the bypass operation. The usage of a telemanipulation system allows for the execution of that operation as a totally endoscopic coronary artery bypass (TECAB) grafting. This relatively new method narrows the surgeon’s view and does not permit the pa...

BACKGROUND It has been previously shown that a persistent (up to 1 month) prothrombotic status occurs after coronary bypass surgery performed both on pump and off pump. To assess the pathways involved in the occurrence of postoperative prothrombotic state, in this study we evaluated plasma, monocyte-bound, and platelet-bound tissue factor expression, as well as platelet and soluble P-selectin e...

The left internal thoracic artery lpa r;LITA) is the preferred graft with the best patency rate in coronary artery bypass grafting (CABG). To maximize its use, we developed a technique of grafting 2 distant coronary arteries with the LITA, using its distal portion segmented to construct a Y graft with either the in situ LITA or right internal thoracic artery (RITA). We applied this technique in...

OBJECTIVE Off-pump coronary artery bypass grafting may result in fewer myocardial and vascular complications than on-pump. Although differences in aortic manipulations likely play a role, the systemic responses of endothelial progenitor cells to both types of operations have not been examined. We sought to examine endothelial progenitor cell characteristics after off-pump versus on-pump coronar...

Recently published evidence has raised concerns about worse late mortality and increasing need for reintervention after off-pump coronary artery bypass grafting. We undertook this study to assess the impact of off-pump coronary artery bypass grafting on survival and freedom from reintervention at 10 years. From January 2002 to December 2002, 307 consecutive patients who had isolated multivessel...