EFFECT OF INTRA LUMINAL SHUNTS IN OFF PUMP CORONARY BY PASS GRAFTING ON LONG TERM GRAFT PATENCY | ||
| Journal of the Egyptian Society of Parasitology | ||
| Article 11, Volume 51, Issue 2, August 2021, Pages 323-331 PDF (1.52 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/jesp.2021.193312 | ||
| Authors | ||
| ASHRAF M. ELBASSIONY; SAMER ABDELSHAFY | ||
| Consultant Cardiothoracic Surgery, Military Medical Academy, Cairo, 11291, Egypt | ||
| Abstract | ||
| The intraluminal coronary shunts (ILS) in OPCAB allow easier, safer, more accurate anastomosis and better myocardial protection by maintaining distal coronary perfusion during beating heart coronary revascularization. This was retrospectively study on sixty patients at Maadi Military Medical Campus who had OPCAB using ILS; Multislice CT and coronary angiography were performed after one year of surgery to assess the graft patency. The total number of grafts was 118, 60 were LIMA (50.8%) and 58 were SVG (49.2%). Post operatively seven patients (11.7%) had MI, two patients (3.3%) had wound infection, one patient (1.7%) had prolonged ventilation>24hours, and one patient (1.7) had perioperative intra- aortic balloon pump. By coronary angiography; 102/118 grafts (86.4%) were patent, 6 had significant stenosis (>50%) and 10 grafts (8.5%) were totally occluded. BY CT angiography; 101-grafts (85.6%) were patent, 7-grafts (5.9%) had significant stenosis and 10-grafts (8.5%) were totally occluded, but without significant difference between results of coronary angiography, and CT angiography (p>0.05). The results by using ILS during OPCAB was safe and showed very much accepted graft patency one year after OPCAB compared to the studies looked for graft patency after OPCAB but using different methods to achieve bloodless field during anastomosis like snaring and bulldogs, CT angiography is a good modality in terms of follow up after CABG it was a noninvasive technique needs no hospital admission, short examination time and it has high sensitivity and specificity. | ||
| Keywords | ||
| Egypt; Patients; Coronary; Intra luminal shunts; Heart coronary revascularization | ||
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