The π-Circuit Technique in Coronary Surgery: Analysis of 1359 Consecutive Cases

Coronary artery bypass surgery still has its unique role in the treatment of coronary artery disease. It faces, however, the continuous challenge of becoming even less invasive and more effective as cases become more complex. We here present the results of 1359 cases treated with the π-circuit techn...

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Published in:Open journal of cardiovascular surgery Vol. 11; p. 1179065219871948
Main Authors: Prapas, Sotirios N, Pangiotopoulos, Ioannis A, Leivaditis, Vasileios N, Katsavrias, Konstantinos P, Prapa, Vasiliki S, Linardakis, Ioannis N, Koletsis, Efstratios N, Grapatsas, Konstantinos
Format: Journal Article
Language:English
Published: London, England SAGE Publications 2019
Sage Publications Ltd
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Abstract Coronary artery bypass surgery still has its unique role in the treatment of coronary artery disease. It faces, however, the continuous challenge of becoming even less invasive and more effective as cases become more complex. We here present the results of 1359 cases treated with the π-circuit technique which consists of an off-pump total myocardial revascularization using composite arterial grafts. The results demonstrate that it is a safe technique providing low mortality, stroke, renal failure, wound infection, and other complication rates. We suggest the application of this technique, as well as of other similar techniques regarding similar principles, especially in high-risk patients.
AbstractList Coronary artery bypass surgery still has its unique role in the treatment of coronary artery disease. It faces, however, the continuous challenge of becoming even less invasive and more effective as cases become more complex. We here present the results of 1359 cases treated with the π-circuit technique which consists of an off-pump total myocardial revascularization using composite arterial grafts. The results demonstrate that it is a safe technique providing low mortality, stroke, renal failure, wound infection, and other complication rates. We suggest the application of this technique, as well as of other similar techniques regarding similar principles, especially in high-risk patients.
Author Katsavrias, Konstantinos P
Linardakis, Ioannis N
Prapas, Sotirios N
Pangiotopoulos, Ioannis A
Leivaditis, Vasileios N
Prapa, Vasiliki S
Koletsis, Efstratios N
Grapatsas, Konstantinos
AuthorAffiliation 5 Department of Thoracic Surgery, Medical Center – University of Freiburg, Freiburg, Germany
1 1st Department of Cardiac Surgery, Henry Dunant Hospital Center, Athens, Greece
4 Department of Cardiothoracic Surgery, General University Hospital of Patras, Patras, Greece
3 Department of Anesthesiology, Henry Dunant Hospital Center, Athens, Greece
2 Department of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, Kaiserslautern, Germany
AuthorAffiliation_xml – name: 1 1st Department of Cardiac Surgery, Henry Dunant Hospital Center, Athens, Greece
– name: 3 Department of Anesthesiology, Henry Dunant Hospital Center, Athens, Greece
– name: 2 Department of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, Kaiserslautern, Germany
– name: 4 Department of Cardiothoracic Surgery, General University Hospital of Patras, Patras, Greece
– name: 5 Department of Thoracic Surgery, Medical Center – University of Freiburg, Freiburg, Germany
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  givenname: Sotirios N
  surname: Prapas
  fullname: Prapas, Sotirios N
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  givenname: Ioannis A
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  fullname: Pangiotopoulos, Ioannis A
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  givenname: Vasileios N
  orcidid: 0000-0001-8692-0059
  surname: Leivaditis
  fullname: Leivaditis, Vasileios N
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Keywords off-pump coronary surgery
Coronary artery bypass graft
arterial grafts
arteria revascularization
non-touch aortic technique
composite grafts
Language English
License This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
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Snippet Coronary artery bypass surgery still has its unique role in the treatment of coronary artery disease. It faces, however, the continuous challenge of becoming...
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StartPage 1179065219871948
SubjectTerms Coronary vessels
Heart
Original Research
Patients
Surgery
Veins & arteries
Title The π-Circuit Technique in Coronary Surgery: Analysis of 1359 Consecutive Cases
URI https://journals.sagepub.com/doi/full/10.1177/1179065219871948
https://www.ncbi.nlm.nih.gov/pubmed/31488952
https://www.proquest.com/docview/2331591517
https://search.proquest.com/docview/2286911208
https://pubmed.ncbi.nlm.nih.gov/PMC6712752
Volume 11
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