Clinical Physiology of Circulation

ISSN 1814-6910 (Print)
ISSN 2410-9134 (Online)

 

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Issue's catalogue ➤ КФК. 2022; 19 (1): 1-96 ➤ Влияние интраоперационной оценки проходимости шунтов на результаты хирургической реваскуляризации миокарда

Impact of intraoperative assessment of shunt patency on the results of surgical revascularization of the left ventricular myocardium

Authors: Akhmedov M.B., Akhmedyarova N.K.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2022-19-1-5-15

UDC: 616.127-089.844

Link: Clinical Physiology of Blood Circulaiton. 2022; 1 (19): 5-15

Quote as: Akhmedov M.B., Akhmedyarova N.K. Impact of intraoperative assessment of shunt patency on the results of surgical revascularization of the left ventricular myocardium. Clinical Physiology of Circulation. 2022; 19 (1): 5–15 (in Russ.). DOI: 10.24022/1814-6910-2022-19-1-5-15

Keywords:  coronary artery bypass graft surgery intraoperative shuntography shunt patency conduits

Received / Accepted:  02.11.2021 / 09.12.2021

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Abstract

The review article highlights possible predictors of shunt dysfunction at different times after surgical revascularization of the left ventricular myocardium and methods for improving the quality of their prevention. Dysfunction of venous shunts in the early postoperative period is primarily explained by acute thrombosis, usually at the site of the anastomosis, defects in the conduit body, as well as a discrepancy between the size of the conduit and the target vessel, which leads to a slowdown in blood flow and, again, thrombosis. Problems of venous shunts are especially noticeable in operations on a beating heart, which is associated with the need to work on a beating heart and with a small compromise of the coagulation system. The solution to problems with venous shunts is intraoperative patency control and aggressive anticoagulant and antiplatelet therapy. The review presents current data on various methods of intraoperative control of graft patency and their importance in improving the immediate and long-term results of coronary bypass grafting.

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****
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About Authors

  • Mukhammadzhon B. Akhmedov, Postgraduate; ORCID
  • Nazli K. Akhmedyarova, Cand. Med. Sci., Cardiologist; ORCID

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