Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Year : 2017 | Month : August | Volume : 11 | Issue : 8 | Page : PE01 - PE04

Coronary Endarterectomy: Recent Trends

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 Address :
Dr. Ravi Ghatanatti,
Flat No A- 14/5, JNMC Quarters, JN Medical College, Nehru Nagar, Belgaum, Karnataka, India.
E-mail : drravighatnatti@rediffmail.com

Abstract

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.

Keywords

Anticoagulation regimen, Conduit patency, Coronary artery bypass grafting, Coronary revascularization

How to cite this article :

Ravi Ghatanatti, Anita Teli. CORONARY ENDARTERECTOMY: RECENT TRENDS. Journal of Clinical and Diagnostic Research [serial online] 2017 August [cited: 2017 Aug 20 ]; 11:PE01-PE04. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=August&volume=11&issue=8&page=PE01-PE04&id=10339

DOI and Others

DOI: 10.7860/JCDR/2017/27036.10339

Date of Submission: Jan 26, 2017
Date of Peer Review: Mar 28, 2017
Date of Acceptance: May 31, 2017
Date of Publishing: Aug 01, 2017

Financial OR OTHER COMPETING INTERESTS: None.

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