ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Off-pump complete revascularization: angiographic results at six months
Deniz Göksedef1, Suat Nail Ömeroğlu1, Başar Sareyyüpoğlu2, Murat Güçlü Elevli3, Kaan Kırali4, Denyan Mansuroğlu5, Gökhan İpek1, Cevat Yakut4
1İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul
2Mayo Clinic, Cardiothoracic Surgery, Rochester, MN, ABD
3Özel Konak Hastanesi, Kalp ve Damar Cerrahisi Bölümü, Kocaeli
4Koşuyolu Kartal Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, İstanbul
5Özel Gaziosmanpaşa Hastanesi, Kalp ve Damar Cerrahisi Bölümü, İstanbul
Background: In this study, perioperative characteristics of the patients in whom complete off-pump revascularization was performed were investigated, and short term angiographic results concerning the grafts used in the operations were determined by revealing the causes of initial morbidity and mortality.

Methods: Between December 2002 and May 2004, 89 patients (81 males, 8 females; mean age 59.7±9.2 years; range 40 to 79 years) who had complete revascularization operation on the beating heart because of multiple vessel lesions and who were operated on by the same operating team were included in our study. Those patients who didn’t have complete revascularization in the same period were not included in the study. General anesthesia was performed in all patients by means of intravenous narcotic anesthesia. In all patients, target vessel revascularization was started by giving priority to the systems supplying the left ventricule. Following revascularization of the left system, dominant coronary artery system was given priority. A total of 43 control angiographies were performed.

Results: The best patency rate was 100% and it was observed in left internal mammarian artery. Bilateral internal mammary artery grafts for left anterior descending territory had also 100% patency. The best patency rate for radial artery was observed by using radial artery to circumfleks territory. The patency rates of saphenous vein grafts was lower than any other arterial graft.

Conclusion: Complete revascularization using arterial grafts on the beating heart can be performed succesfully.

Keywords : Coronary artery bypass graft; off-pump revascularization; arterial and venous grafts
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