التفاصيل البيبلوغرافية
| العنوان: |
Angioplasty balloon occlusion of LIMA graft in reoperations of patients with prosthetic valve endocarditis and patent LIMA-LAD graft. |
| المؤلفون: |
Todorov, Ivilin Plamenov1 ivilint@gmail.com, Todorova, Zdravka Petrova2, Nikolov, Dimitar Petrov1 |
| المصدر: |
Polish Journal of Thoracic & Cardiovascular Surgery / Kardiochirurgia i Torakochirurgia Polska. 2022, Vol. 19 Issue 4, p199-204. 6p. |
| مصطلحات موضوعية: |
*INTRA-aortic balloon counterpulsation, *TRANSLUMINAL angioplasty, *BALLOON occlusion, *INTERNAL thoracic artery, *REOPERATION, *ENDOCARDITIS |
| مصطلحات جغرافية: |
LIMA (Peru) |
| مستخلص: |
Introduction: Myocardial protection in reoperative cardiac surgery is extremely difficult in patients with previous coronary surgery and a working LAD-LIMA graft. We use the method of percutaneous angiographic balloon left internal mammary artery (LIMA) occlusion and cardioplegic arrest. Aim: To compare the data of patients with angiographic balloon LIMA-occlusion and those without occlusion in operations related to prosthetic valve endocarditis (PVE), and determine the degree of safety and benefits of the method. Material and methods: A total of 20 patients undergoing surgery for PVE with a patent LIMA-LAD graft were analyzed retrospectively. We divided the patients into 2 groups: group A - patients with LIMA occlusion; and group B - patients without LIMA occlusion. The pre-, intra- and postoperative results were compared and the degree of safety and benefits of the application of the method were studied. Results: 80% of patients in group A needed only dopamine infusion and 20% needed the addition of a second catecholamine at the end of CPB. In group B, the need for double catecholamine maintenance was noted in 50% of patients. The need for implantation of an intra-aortic balloon pump due to refractory heart failure was registered in 10% of patients in group A and in 20% of patients in group B. In terms of survival, mortality in the group with LIMA occlusion was 0%, while in the group without LIMA occlusion it was 20%. Conclusions: Our observations suggest that angiographic balloon LIMA occlusion is a reliable, easily applicable and relatively safe technique that improves the surgical results. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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