Coronary Artery Bypasses (Cardiology Research and Clinical Developments)

CORONARY ARTERY BYPASSES......Page 3
Contents......Page 7
Preface......Page 9
Abstract......Page 17
Background......Page 18
Anatomy and Congenital Anomaly of the RA......Page 19
Preoperative Assessment Using Modified Allen’s Test......Page 20
Other Methods of Assessing Adequacy of UA Circulation......Page 21
Histopathology......Page 22
Vasorelaxation Profile......Page 23
Conventional Sharp Dissection and Ligaclipping of Side Branches......Page 24
Harmonic Scalpel (Ethicon, UK)......Page 25
Pharmacological Technique......Page 26
Effects of Different Storage Solutions on Vasoreactivity of RA......Page 27
Effects Gentle Hydrostatic Distension Vasoreactivity of RA......Page 30
Novel Endothelium Nitric Oxide Synthase Gene Therapy......Page 33
Forearm/Hand Function and Morbidity......Page 35
Baseline and Dynamic in-VivoGraft Flow Characteristics......Page 36
Significance of RA Arterial String-Sign – Graft Pathology or Physiology?......Page 39
Optimal RA Grafting Strategy: Factors Affecting RA Graft Patency......Page 43
Techniques of RA Anastomosis......Page 44
Angiographic Patency of RA Grafts—Evidence from Retrospective Observational Studies......Page 45
Angiographic Patency of RA Grafts – Evidence from Prospective Randomized Trials......Page 48
2. Radial Artery Patency Study (RAPS) [116;125]......Page 50
3. Radial Artery Versus Saphenous Vein Patency (R.S.V.P) Trial [64]......Page 51
Conclusions......Page 55
References......Page 56
Abstract......Page 67
Introduction......Page 68
Intra-Operative Imaging for CABG Surgery......Page 69
The Hybrid Operating Room......Page 70
Hybrid Procedures......Page 72
Indications and Contraindications for Hybrid CABG Surgery......Page 74
Timing of Hybrid Coronary Revascularization......Page 75
Contrast Nephropathy......Page 76
Anesthetic Considerations for Hybrid Coronary Procedures......Page 77
Conclusion......Page 78
References......Page 79
Introduction......Page 85
Anatomy of the Coronary Sinus and the Coronary Venous System......Page 86
Coronary Sinus Cannulation: The “Blind” Technique......Page 87
Retrograde Cardioplegia: How to Protect High-Risk Patients......Page 88
Blood Sampling and Biochemical Analysis: A Real-Time Opportunity for Immediate Diagnosis of Myocardial Damage......Page 90
Retroperfusion: “Rescue” Approachto Unexpected Complications......Page 92
Conclusion......Page 93
References......Page 94
Abstract......Page 97
Incidence and Prognosis of Acute Kidney Injuries after Bypass Surgery......Page 98
A. The Patient......Page 99
C. CPB......Page 100
B. Hemodynamic Effects and Microcirculatory Disruption......Page 102
C. Systemic Inflammation and Ischemia-Reperfusion......Page 103
E. Toxicity......Page 105
Diagnosis of Acute Kidney Injury after Coronary Artery Bypass......Page 106
B. Pharmacological Interventions......Page 109
C. Management of CPB......Page 111
References......Page 112
Abstract......Page 127
Coronary Targets......Page 128
Surgical Technique......Page 129
Strategy of Revascularization......Page 130
Intensive and Perioperative Care......Page 131
Associated Procedures......Page 132
Indications for Operation......Page 133
Surgical Technique......Page 134
References......Page 135
Abstract......Page 139
Etiology......Page 140
Clinical Features......Page 141
Additional Examinations......Page 142
Uncommon Patterns of Constrictive Pericarditis......Page 143
Treatment......Page 144
References......Page 145
Abstract......Page 151
Prevalence of Diabetic Retinopathy in Diabetic Patients Undergoing Coronary Revascularization......Page 152
Diabetic Retinopathy and Risk of Coronary Events......Page 153
Diabetic Retinopathy and Risk of Congestive Heart Failure......Page 154
Survival Benefit of CABG over PCI in Patients with Diabetic Retinopathy......Page 155
Long-Term Prognosis following CABG......Page 156
Diabetic Retinopathy as a Guide for Selecting an Appropriate Coronary Revascularization in Diabetic Patients......Page 157
Reference......Page 158
Introduction......Page 163
Adverse Effects ofExtracorporeal Circulation......Page 164
Mortality......Page 165
Graft Patency......Page 166
Renal Function......Page 167
Cerebrovascular Damage......Page 168
Left and Right Ventricular Dysfunction......Page 169
Socio-Economic Considerations......Page 170
References......Page 171
Method and Aim of Study......Page 177
Introduction......Page 178
Symptoms and Treatment of CoronaryHeart Disease......Page 181
Causes of Neuropsychological Deficits......Page 184
Quality of Life......Page 185
Psychological Well-Being:Depression and Anxiety......Page 188
Social Support......Page 193
Methodology......Page 194
Anxiety......Page 195
Physical Activity Questionnaire......Page 196
Participants......Page 197
Results......Page 198
Hierarchical Regression Analysis......Page 202
Hierarchical Regression and the SF-36 Physical Component Summary......Page 203
Hierarchical Regression and SF-36 Mental Component Summary......Page 204
Discussion......Page 205
Which Variables Can Determine Quality of Life Five Years after CABG?......Page 209
Neuropsychological Assessment......Page 211
Clinical Implications of This Study......Page 212
References......Page 213
Objective......Page 227
Introduction......Page 228
Patients......Page 229
Anaesthesia and Surgical Procedure......Page 230
Statistical Analysis......Page 231
Results......Page 232
Discussion......Page 237
References......Page 239
Introduction......Page 243
Differences in Biology......Page 244
Risk Factors for Men......Page 246
Surgical Outcomes for Men......Page 248
Conclusion......Page 252
References......Page 253
Index......Page 257