Шунтирование коронарных артерий на работающем сердце с использованием аутоартериальных графтов

Abstract The effect of coronary artery bypass grafting (CABG) lasts as long as the grafts are patent. Between January 2002 and September 2008 a total of 231 patients underwent CABG in Almazov Federal Heart, Blood and Endocrinology Centre. They were divided in two groups. The fi rst group (n = 117) underwent off-pump coronary artery bypass grafting (OPCAB), patients of the second group (n = 120) underwent on-pump CABG with crystalloid cardioplegia. Complete revascularization using arterial grafts (internal thoracic arteries, radial arteries) and saphenous vein grafts was performed in all patients. The purp ose of this research is to show the opportunity of successful OPCAB with arterial grafts. We conclude that the absence of anoxic period during OPCAB decrease the risk of myocardium damage. It allows avoiding complications, decreasing the time of artifi cial ventilation and stay in the intensive care unit. The use of arterial grafts during OPCAB is a perspective way. Key words : off- and on-pump coronary artery bypass, arterial grafts, surgery.Основоположником идеи использования аутоартерий в сердечно-сосудистой хирургии является французский хирург A. Carrel, который в начале ХХ века в своих экспериментах доказал возможность восстановления кровотока в измененных участках артерий при помощи