Arterial Grafting for Myocardial Revascularization

Indications, Surgical Techniques and Results

Ludwig K. von Segesser (Autor)

Buch | Softcover

XI, 146 Seiten

2011 | 1. Softcover reprint of the original 1st ed. 1990
Springer Berlin (Verlag)
978-3-642-75711-2 (ISBN)

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Cardiovascular disease, the leading cause of With increased experience using the inter death in industrialized societies, not only nal mammary artery, these groups of sur strikes down a significant fraction of the geons eventually applied the procedure to a population without warning, but also causes larger population of patients. Eventually, prolonged suffering and disability in even the mammary artery was used in sequential larger number. Until the development of fashion to bypass more than one artery, and, heart surgery and the introduction of diag in some patients, both mammary arteries nostic techniques including cineangiogra were used. Using these new techniques, sur phy, stress electrocardiography, echocardio geons could bypass almost every area of the graphy, and myocardial scanning, the diseased coronary system except the distal treatment of arteriosclerotic heart disease circumflex branches and distal right branch was confined to medical measures that were es. Then, in 1983 and in 1985, Campeau and usually only partially effective. Lytle published the results of their long-term After the introduction of selective coro studies of mammary artery bypass. These nary angiography by Sones, surgeons, led by important reports showed significantly dif Favaloro and Johnson, began to apply the ferent results in favor of the internal mam principle of bypass to coronary arterial dis mary artery over the saphenous vein graft. ease.

The author instills this book with personal experience and extensive research on the surgical procedure. He provides a synthesis of knowledge with very detailed information about current clinical practice and long-term implications for the future.

1 Introduction.- 2 Myocardial Revascularization and the Internal Mammary Artery.- 2.1 History of Myocardial Revascularization.- 2.2 Indications for Surgical Coronary Artery Revascularization Today.- 2.3 Early and Late Results of Coronary Artery Bypass Grafting: Attrition of Saphenous Vein Grafts.- 3 Anatomy of the Internal Mammary Artery.- 3.1 Normal Anatomy.- 3.2 Anatomical Variations.- 4 Pathology of the Internal Mammary Artery and the Subclavian Artery.- 4.1 Angiographic Studies.- 4.2 Microscopic Studies.- 5 Experimental Studies.- 5.1 Flow Studies in Animals.- 5.2 Physiological and Pathophysiological Basis for the Superiority of Internal Mammary Artery Grafts in Comparison to Saphenous Vein Grafts.- 5.3 Expanded Use of the Internal Mammary Artery.- 5.4 Alternative Grafts for Coronary Artery Revascularization.- 6 Clinical Studies.- 6.1 Flow Studies in Humans.- 6.2 Expanded Use of the Internal Mammary Artery in Clinical Coronary Artery Revascularization.- 7 Clinical Application of Internal Mammary Artery - Coronary Artery Bypass Grafting.- 7.1 Indications for Internal Mammary Artery - Coronary Artery Bypass Grafting.- 7.2 Contraindications for Internal Mammary Artery - Coronary Artery Bypass Grafting.- 7.3 Surgical Techniques of Clinical Internal Mammary Artery - Coronary Artery Bypass Grafting.- 8 Results of Internal Mammary Artery - Coronary Artery Bypass Grafting.- 8.1 Early Results.- 8.2 Medium-Term Results of Internal Mammary Artery - Coronary Artery Grafting.- 8.3 Late Results of Internal Mammary Artery - Coronary Artery Grafting.- 9 Complications of Internal Mammary Artery Grafting.- 9.1 Inadequate Flow After Internal Mammary Artery - Coronary Artery Revascularization.- 9.2 Spasms After Coronary Artery Revascularization.- 9.3 MechanicalCirculatory Support After Internal Mammary Coronary Artery Grafting.- 9.4 Sternal Infections Following Internal Mammary Artery - Coronary Artery Grafting.- 9.5 Other Complications After Internal Mammary Artery Grafting.- 10 Long Term Follow-up After Internal Mammary Artery - Coronary Artery Revascularization.- 10.1 Freedom From Reinfarction After Coronary Artery Revascularization.- 10.2 Objective Assessment of the Results of Internal Mammary Artery - Coronary Artery Revascularization.- 10.3 Late Patency Rates of Internal Mammary Artery Grafts.- 11 Redo Coronary Artery Revascularization After Internal Mammary Artery Grafting.- 11.1 Percutaneous Transluminal Angioplasty After Internal Mammary Artery Grafting.- 11.2 Reoperation After Internal Mammary Artery Grafting.- 12 Conclusion.- References.- Suppliers of Material.

Erscheint lt. Verlag	13.12.2011
Zusatzinfo	XI, 146 p. 63 illus.
Verlagsort	Berlin
Sprache	englisch
Maße	170 x 242 mm
Gewicht	292 g
Themenwelt	Medizinische Fachgebiete ► Chirurgie ► Herz- / Thorax- / Gefäßchirurgie
Themenwelt	Medizinische Fachgebiete ► Innere Medizin ► Kardiologie / Angiologie
Schlagworte	anatomy • Arteries • Artery • Bypass • Cardiovascular • coronary artery disease • coronary artery disease, bypass, internal mammary • coronary artery disease, bypass, internal mammary art.graft. • coronary artery disease, bypass, internal thoracic • coronary artery disease, bypass, internal thoracic art.graf. • coronary artery disease, revascularization • coronary heart disease • Drugs • Herzkrankheit • Herzkrankheiten, Bypass, Arteria mammaria interna grafting • Herzkrankheiten, Bypass, Arteria thoracica interna • Herzkrankheiten, Bypass, Arteria thoracica interna grafting • Herzkrankheiten, Revaskularisation • platelet
ISBN-10	3-642-75711-1 / 3642757111
ISBN-13	978-3-642-75711-2 / 9783642757112
Zustand	Neuware