Sequential Coronary Artery Bypass Grafting is a Safe Technique for Multi Vessels Disease Patients | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 236, Volume 91, Issue 1, April 2023, Pages 5284-5288 PDF (453.54 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2023.305068 | ||
| Author | ||
| Mohamed Husseiny Mahmoud* | ||
| Abstract | ||
| Background: Patients with multivessel coronary artery disease have shown the greatest improvement from coronary artery bypass graft (CABG) surgery, according to clinical trials. Aim: To evaluate the effect of a sequential approach to coronary artery bypass grafting based on a prospective analysis of three-month mortality and morbidity rates, short-term outcomes, and findings. Subject and Methods: This study included 113 patients with multi-vessel coronary artery disease for CABG. A cohort prospective study included 40 patients scheduled for sequential CABG at Al-Azhar University Hospitals. All patients were managed through three steps: Preoperative assessment, intra-operative assessment and post-operative assessment. Results: Bleeding and need for re-exploration had the highest percent in post-operative hospital complications. New ECG changes had the highest percent in 90 days outcomes in all studied patients. Serum troponin and CK-MB levels in P1 and P2 were significantly different between the study populations. No significant variations in Echocardiographic parameters were found between the study and control groups. Conclusion: Clinical evidence showed that the sequential approach for coronary artery bypass grafting is a safe and effective treatment that may be used consistently in CABG, particularly for young patients without or with well-controlled diabetes in terms of short-term results and hospital mortality. The sequential approach reduced the risk of problems and hospitalization. Due to fewer aortic manipulations, sequential grafting gained popularity as minimally invasive direct coronary artery bypass grafting (MIDCAB). | ||
| Keywords | ||
| Sequential technique; CABG; MIDCAB | ||
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