Clinical assessment of immediate results of various methods of myocardial revascularization in ischemic heart disease patients with isolated anterior descending coronary artery disease

摘要

Open heart coronary artery bypass grafting (CABG), minimally invasive coronary artery surgery, transluminal balloon coronary angioplasty (TBCA) and coronary stenting were carried out in 25, 35, 12 and 38 patients with isolated anterior descending coronary artery disease, respectively. In immediate period after procedures there were 2 deaths (among patients subjected to open heart CABG and TBCA) and 2 nonfatal myocardial infarctions (among patients treated with TBCA and stenting). In 2 patients repeat interventions were performed during initial hospitalization (in 1 after TBCA and in 1 after stenting). Exercise tolerance increased by 40+/-8, 44+/-7, 45+/-8, 53+/-9 W in patients treated with open heart CABG, minimally invasive surgery, TBCA and stenting, respectively. Thus surgical and endovascular methods of treatment of patients with isolated anterior descending coronary artery lesions produced beneficial clinical effect and were associated with relatively low rate of postoperative complications.