PREVENTION OF PERIOPERATIVE COMPLICATIONS AFTER CORONARY ARTERY BYPASS GRAFTING COMBINED WITH ENDARTERECTOMY OF THE CORONARY ARTERIES

Abstract

The results of the search of possible ways to prevent early thrombotic complications after coronary bypass surgery (CABG) procedure in combination with coronary endarterectomy (CE). The control group included 76 patients retrospectively underwent CABG in combination with the EC, made by traditional methods. Study group comprised 126 patients who had CEA performed after treatment the deendotelisation surface of the coronary arteries heparin. A comparative clinical evaluation of the incidence of perioperative complications in these two groups of patients. The advantage of intracoronary administration of heparin after CEA, which significantly reduces the risk of early thrombosis of endarterectomy zone, which lead to severe complications perioperative period. Any hemorrhagic complications associated with intravascular administration of heparin were observed.

Keywords

• ишемическая болезнь сердца
• коронарное шунтирование
• коронарная эндартерэктомия
• искусственное кровообращение
• гепарин