Key result
Coronary endarterectomy during coronary artery bypass grafting resulted in similar hospital mortality (2% vs 2%) and perioperative myocardial infarction rates compared to CABG without endarterectomy.
Why the study?
Does the addition of coronary endarterectomy to CABG affect hospital mortality and postoperative complications in patients with severe coronary artery disease?
Cohort (n=100)
Does the addition of coronary endarterectomy to CABG affect hospital mortality and postoperative complications in patients with severe coronary artery disease?
Absolute Event Rate: 2% vs 2%
Coronary endarterectomy during CABG does not significantly increase hospital mortality or perioperative complications, suggesting it is a suitable option for achieving complete revascularization in severe diffuse coronary disease.
Comparable early outcomes support endarterectomy for complete revascularization in diffuse disease; leaves open randomized assessment of durability.
To compare hospital mortality and postoperative complications in patients with severe coronary artery disease undergoing coronary artery bypass grafting with or without coronary endarterectomy, 100 consecutive patients were divided into 2 groups of 50 patients each. Group 1 had coronary endarterectomy, and group 2 had no coronary endarterectomy. There were 87 men and 13 women, with a mean age of 54.79 +/-7.8 years; 48% had stable angina. The right coronary artery was endarterectomized in 22 patients, the left anterior descending artery in 21, and the left circumflex in 7. There were no significant differences in outcomes. There was 1 hospital death in each group. Perioperative myocardial infarction occurred in 2 patients in group 1 and 1 in group 2. Endarterectomy is a suitable option to achieve complete revascularization in patients with refractory angina and severe diffuse disease.
No takes yet. Share an insight, caveat, or question.
Abid et al. (2009) conducted a cohort in Severe coronary artery disease (n=100). Coronary endarterectomy vs. No coronary endarterectomy was evaluated on Hospital mortality. Coronary endarterectomy during coronary artery bypass grafting resulted in similar hospital mortality (2% vs 2%) and perioperative myocardial infarction rates compared to CABG without endarterectomy.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: