Alternative approach to multivessel coronary disease with integrated coronary revascularization.

摘要: Abstract Objective: Integrated coronary revascularization combines minimally invasive artery bypass grafting (MICABG) with left internal thoracic artery–left anterior descending and percutaneous intervention. We hypothesized that integrated could result in successful suitable patients multivessel disease. Methods: Between September 1996 January 1998, 31 consecutive underwent revascularization. Twenty-two were male; mean age was 69 years (46-86 years) 42% older than 75 years. Eight (26%) had a Parsonnet score greater 20%. Left ventricular ejection fraction 46.3% ± 12%; 6 (19%) less 35%. Results: The anastomosis time for MICABG the 14.6 5.2 minutes operating 105 20 minutes; 28 (90%) extubated room. patent all (100%). Percutaneous intervention performed before 2 (7%), on same day of 16 (52%), postoperative 1 3 (9%), days to 4 10 (32%). Postprocedure length stay hospital 2.7 1.0 13 (42%) discharged home or 2. Three (9.6%) required repeat target vessel distribution previous All are alive without angina at follow-up 10.8 3.8 months. Conclusion: Our early results demonstrate can be safely effectively. Long-term will available from prospective randomized trial now underway compare (J Thorac Cardiovasc Surg 1999;117:439-46)