| Hybrid revascularization feasibility in minimally invasive direct coronary artery bypass grafting combined with percutaneous transluminal coronary angioplasty in patients with acute coronary syndrome and multivessel disease. | |
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MedLine Citation:
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PMID: 11808091 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: We reviewed early and midterm outcome of 11 multivessel-disease acute coronary syndrome patients treated by hybrid revascularization, i.e., initial coronary angioplasty followed by minimally invasive direct coronary artery bypass grafting. We evaluated procedural efficacy and applicability. METHODS: Beginning in August 1997, hybrid revascularization was conducted in 11 multivessel-disease acute coronary syndrome patients--9 men and 2 women with a mean age of 70.3 +/- 9.3 years. Occlusion or stenosis of the target coronary artery was treated by interventional cardiologic techniques and minimally invasive direct coronary artery bypass grafting, and the early and midterm outcome evaluated. Coronary angiography was conducted in all cases at 2 weeks, 6 months, 1 and 3 years postoperatively to evaluate anastomosis and restenosis in treated coronary vessels. RESULTS: Initial intervention succeeded in patients with minimal residual stenosis. Subsequent minimally invasive direct coronary artery bypass grafting involved no complications. Coronary angiography early postoperatively, 6 months, 1 and 3 years later showed grafts patent without stenosis. Percutaneous transluminal coronary angioplasty was reconducted on restenotic lesions in 3 patients, 1 of whom required 3 procedures. CONCLUSIONS: Hybrid revascularization appears safe and effective in coronary revascularization, at least over the short term. Several patients underwent angioplasty for restenosis within 3 years after initial procedure. Overall acceptance of this hybrid method depends on long-term functional success of the 2 procedures. Its major limitation is restenosis of angioplasty sites and the need for repeat procedures. |
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Authors:
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Y Matsumoto; M Endo; F Kasashima; Y Abe; I Kosugi; Y Hirano; H Sasaki; T Ueyama |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi Volume: 49 ISSN: 1344-4964 ISO Abbreviation: Jpn. J. Thorac. Cardiovasc. Surg. Publication Date: 2001 Dec |
Date Detail:
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Created Date: 2002-01-25 Completed Date: 2002-02-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100884261 Medline TA: Jpn J Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 700-5 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, National Kanazawa Hospital, 1-1 Shimoishibikicho, Kanazawa 920-8650, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Angioplasty, Transluminal, Percutaneous Coronary* Coronary Artery Bypass* Coronary Disease / surgery, therapy* Coronary Vessels / pathology Feasibility Studies Female Humans Male Middle Aged Myocardial Revascularization / methods* Surgical Procedures, Minimally Invasive / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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