Coronary Endarterectomy: Recent Trends
Published: August 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/27036.10339
Ravi Ghatanatti, Anita Teli
1. Consultant Cardiac Surgeon, Department of Cardiothoracic and Vascular Surgery, KLE’s Dr Prabhakar Kore Hospital and MRC, Belgaum, Karnataka, India.
2. Assistant Professor, Department of Physiology, KLE University’s Jawaharlal Nehru Medical College, Belgaum, Karnataka, India.
Correspondence
Dr. Ravi Ghatanatti,
Flat No A-14/5, JNMC Quarters, JN Medical College, Nehru Nagar, Belgaum, Karnataka, India.
E-mail : drravighatnatti@rediffmail.com
Coronary Endarterectomy (CE) assures complete revascularization of the myocardium in case of diffusely diseased vessels and prevents residual ischemia. Recently cardiac surgeons are performing increasing number of coronary endarterectomy and it has evolved as an important adjuvant procedure in Coronary Artery Bypass Grafting (CABG). There are controversies regarding the efficiency of CE. CE is criticised for its higher rates of morbidity and mortality. At present the available evidence supports CE in Off Pump Coronary Artery Bypass surgery (OPCAB) and along with valvular procedures. Graft patency is better with open technique. Postoperative anticoagulation regimen though not uniform, the overall outcome remains the same. Therefore, it is important to focus on the current results to accept CE as a routine procedure like CABG.
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