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Background: There are no reports regarding simultaneous coronary revascularization, coronary artery bypass surgery, percutaneous coronary intervention, and cholecystectomy procedures. Here we discuss the medical findings of the patients who underwent simultaneous laparoscopic cholecystectomy and coronary revascularization at the same session. Patients and Methods: We had a total of 19 patients who underwent simultaneous LC and CABG or PCI. LC was performed under general anesthesia 2 to 3 days after PCI. The mean number of bypass grafts in the CABG group was 3. 4 u00b1 1. 9. The mean number of stents per patient in the PCI group was 2. 1 u00b1 0. 07; LC was performed 2 or 3 days after the PCI was without the cessation of clopidogrel and acetylsalicylic acid in the PCI. The mean durations of ICU and hospital stays in the CABG group were 3. 2 3. 1 1. 4 and 14. 2 days, respectively. The mean durations of ICU stay and hospitalization were 1. 7 0. 4 and 7. 4 days, respectively, in the PCI group. In the setting of concomitant procedures in the CABG group, postoperative complications of the abdominal wall or mediastinitis were not present in the diagnosis of concomitant procedures. Conclusion: Simultaneous CABG or PCI with LC can be performed safely in patients with cholecystitis. In the PCI group, the durations of postcholecystectomy ICU stay and the intubation time were both significantly shorter. PCI may be the first choice of revascularization therapy in selected patients requiring cholecystectomy prior to discharge, according to our findings.
Source link: https://doi.org/10.1532/hsf.1900
Objectives: Minimally invasive coronary artery bypass graft and robotic-assisted coronary artery bypass graft, as well as hybrid coronary artery bypass graft, and coronary artery bypass grafting aims include MICR/RCABG, which aims to include MICR/RCABG on left anterior descending and percutaneous coronary intervention in non-LAD lesions. HCR and 2349 cases of MICR were found in a systematic literature search, which included being suitable for metaanalysis; the studies were published between 1990 and 2018 and included 1084 cases of HCR and 2349 cases of MICR. HCR was correlated with reduced need for ICU LOS, hospital time, and blood transfusion than MICR, according to the metaanalysis of these studies. Conclusions: In terms of in-hospital mortality, MACCE, shock, MI, long-term health, total variable cost, and surgical complications, HCR was noninferior to MICR in terms of in-hospital mortality, suicide, shock, HEMS, long-term recovery, total variable cost, and surgical complications, whereas MICR was less frequent than MICR, with a reduced need for ICU LOS, hospital time, and blood transfusion than MICR, which was less infection than MICR,.
Source link: https://doi.org/10.1532/hsf.2499
This is a prospective randomized controlled study that seeks to determine the best surgical option for moderate ischemic regurgitation by either coronary artery bypass grafting only or by performing additional mitral repair. Methods: 60 patients with ischemic heart disease associated with moderate ischemic regurgitation were divided into two groups over a nine-month period. Group 1 contained 30 patients who underwent coronary artery bypass grafting with mitral valve replacement; Group 2 contained 30 patients who had only coronary artery bypass grafting; Group 2 contained 30 patients who had coronary artery bypass grafting; Group 2 had only coronary artery bypass grafting. In group 1 and 22 patients in group 2, the degree of MR increased in 28 patients. Conclusion: The results of the survey revealed many benefits of adding mitral repair to surgical revascularization in patients with moderate ischemic mitral regurgitation, as well as improvements in the degree of MR and NYHA functional class.
Source link: https://doi.org/10.1532/hsf.2773
Background: The development of mild ischemic regurgitation after isolated coronary artery bypass is uncertain. Methods: Sixty-three patients with mild ischemic MR grafting and recovery of or persistent MR were categorized into an MR-regression or a persistent MR group one year after isolated CABG, with the intention of determining the proportion of patients with mild ischemic MR graft grafting in isolation one year after CABG; sixty-three patients with persisting MR. Results: In 40% of the patients, MR regressed in 60% and persisted in 40% one year after CABG. Isolated CABG produced mild MR in the majority of patients with mild ischemic MR. Patients with persistent CABG after isolated CABG showed greater recovery after revascularization than those with persistent MR after isolated CABG.
Source link: https://doi.org/10.1532/hsf.2759
Background: Immediate coronary artery disease, proximal left anterior artery disease, and three-vessel coronary artery disease with carotid artery stenosis are all typical heart disease disorders, including left main coronary artery disease, left main coronary artery disease, carotid artery stenosis. Radial artery bypass graft surgery can be used safely as a patch material for carotid endarterectomy in combined surgery by using complete arterial revascularization procedures. Methods: The study included 14 patients with acute coronary artery disease with the stenosis of unilateral carotid artery equal/over 70% between 2016 and 2018.
Source link: https://doi.org/10.1532/hsf.3231
The coronary artery graft of the left anterior descending artery graft is complemented by percutaneous coronary intervention to treat remaining lesions. Although this is a very promising revascularization scheme, many years later, only a few small randomized controlled trials comparing HCR with coronary artery bypass grafting have recently appeared in the medical literature, raising questions regarding HCR's role.
Source link: https://doi.org/10.1532/hsf.3693
Neurosurgeons have been looking for safer, more efficient ways to increase blood flow to ischemic brain tissue for almost half a century. cerebral revascularization techniques have been continually evolving from the first extracranialu2013intracranial bypasses to the latest technological advancements seen with endovascular therapy. Chronic ischemia has evolved from a condition that was previously thought medically untreatable to a disorder with many viable options for prevention and treatment over the years.
Source link: https://doi.org/10.3171/foc/2008/24/2/e3
Actual or impaired cerebral aneurysms have been treated with catheter revascularization techniques in the clinical care of chronic or injured cerebral ischemic states and unclippable cerebral aneurysms. The use of high-flow grafts made using the saphenous vein or radial artery is a low-flow bypass graft alternative to a low-flow bypass graft. The authors chronicled 8 women and 5 men whose ages ranged from 44 to 69 years, in their clinical series of 13 patients who underwent high-flow bypass with an RA graft. Indications for RA graft bypass were unclipped aneurysms in ten patients and occlusive cerebrovascular disease in three patients.
Source link: https://doi.org/10.3171/foc/2008/24/2/e5
Aneurysms can be removed from circulation by both constructive and deconstructive measures. Although most aneurysms can be removed from the circulation with simple clip reconstruction and/or coil insertion, some require revascularization procedures to increase the risk of temporary arterial occlusion during clipping of the aneurysm neck or trapping. Cerebral revascularization procedures are becoming increasingly important in select patients with difficult vascular aneurysms due to size, shape, position, intramural thrombus, atherosclerotic plaques, aneurysm type, vessels emerging from the dome, or poor collateral vascularization when parent artery or branch occlusion is desired. In situations in which balloon test occlusion results in inadequate cerebral circulation and in which there is a need for Hunterian ligation, trapping, or prolonged temporary occlusion, Bypass techniques should be considered. This review article will focus on decision making in bypass surgery for tumescent aneurysms.
Source link: https://doi.org/10.3171/foc.2008.25.2.e21
Object The superficial temporal artery is the principalstay of donor vessels for extracranialu2013intracranial bypass in cerebral revascularization. Methods The authors explored the cases of 4 patients in whom the STA trunk was used as a donor site for an anastomosis of a short interposition vein graft. In two patients, the graft was implanted into the middle cerebral artery to prevent a cartoid aneurysm, and in the other two cases, the posterior cerebral artery for vertebrobasilar insufficiency was present. Discrepancies in the size of the interposition vein and the STA trunk were compensated for by a befoulded end-to-end anastomosis or by inserting the STA trunk into the vein graft in an end-to-side manner. Comparing to an interposition graft to the cervical carotid, the STA trunk interposition graft has many benefits over an interposition graft, including a shorter graft and no need for a neck incision.
Source link: https://doi.org/10.3171/foc/2008/24/2/e7
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