Cardiovascular Surgery
doi: 10.25005/2074-0581-2024-26-2-203-213
“SURGICAL FORMULA” FOR CORONARY BYPASS: NEW OPPORTUNITIES FOR COMPUTER DATA PROCESSING AND PERSONALIZED ASSESSMENT OF TREATMENT RESULTS
1A.O. Makhachev Center for Cardiology and Cardiovascular Surgery, Makhachkala, Russian Federation
2Department Cardiology and Cardiovascular Surgery with Laboratory of Surgical Techniques, Institute of Additional Professional Education, Dagestan State Medical University, Makhachkala, Russian Federation
Objective: To develop a “surgical formula” for CABG and evaluate the results of its application for the taxonomy of direct MR options
Methods: Four hundred fifty-two internal mammary artery-aortocoronary bypass (IMA-ACB) using two and three shunts (conduits) were performed from January 2020 to December 2023 at A.O. Makhachev Center for Cardiology and Cardiovascular Surgery, Makhachkala, Dagestan. Off-pump surgeries were performed in 315 patients, while 137 patients underwent on-pump CABG. The MR index was 3.5. Every IMA-ACB option had specifications indicating the particular donor artery, graft, and recipient coronary artery (CA). A “surgical formula” comprising the above specifications was developed for every MR surgery option
Results: There was no in-hospital mortality among the patients enrolled in the study. According to intraoperative monitoring, the incidence of shunt dysfunction was 0.4%. Overall, 32 “surgical formulas” were developed for all types of operations performed in patients enrolled in this study. Conclusion: Introducing “surgical formulas” in the operation records at the cardiac surgery departments facilitates the systematization and classification of CABG options
Keywords: Coronary artery disease, coronary artery bypass grafting, sequential coronary artery bypass grafting, conduit.
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Authors' information:
Makhachev Osman Abdulmalikovich,
Head of the Department of Research and Implementation of New Technologies, A.O. Makhachev Center for Cardiology and Cardiovascular Surgery; Head of the Department of Cardiology and Cardiovascular Surgery with Laboratory of Surgical Techniques, Institute of Additional Professional Education, Dagestan State Medical University
ORCID ID: 0009-0002-1789-6117
E-mail: dagcardiocenter@mail.ru
Askadinov Magomedganipa Nurmagomedovich,
Deputy Chief Physician for Surgery, A. O. Makhachev Center for Cardiology and Cardiovascular Surgery
ORCID ID: 0000-0003-2993-204x
E-mail: magomedganipa@rambler.ru
Abusov Gadzhi Magomedovich,
Head of the Department of Cardiac Surgery, A.O. Makhachev Center for Cardiology and Cardiovascular Surgery; Assistant of the Department of Cardiology and Cardiovascular Surgery with Laboratory of Surgical Techniques, Institute of Additional Professional Education, Dagestan State Medical University
ORCID ID: 0009-0009-9660-758x
E-mail: abusoff@mail.ru
Ibragimov Rasul Gadzhikuevich,
Cardiovascular Surgeon, A.O. Makhachev Center for Cardiology and Cardiovascular Surgery
ORCID ID: 0000-0001-5004-9265
E-mail: ibragimov_rg@mail.ru
Dibirova Zuleykhat Gasanovna,
Cardiovascular Surgeon, A.O. Makhachev Center for Cardiology and Cardiovascular Surgery
Researcher ID: KNT-5561-2024
ORCID ID: 0009-0008-7683-8690
E-mail: zulejhat2017@gmail.com
Abdulaev Kamaludin Ilyasovich,
Cardiovascular Surgeon, A.O. Makhachev Center for Cardiology and Cardiovascular Surgery
Researcher ID: XT-51952024
ORCID ID: 0009-0004-8838-5490
E-mail: abdulaev_ki@mail.ru
Information about support in the form of grants, equipment, medications
The authors did not receive financial support from manufacturers of medicines and medical equipment
Conflicts of interest: No conflict
Address for correspondence:
Abusov Gadzhi Magomedovich
Head of the Department of Cardiac Surgery, A.O. Makhachev Center for Cardiology and Cardiovascular Surgery; Assistant of the Department of Cardiology and Cardiovascular Surgery with Laboratory of Surgical Techniques, Institute of Additional Professional Education, Dagestan State Medical University 368080, Russian Federation, Republic of Dagestan, Kumtorkalinsky district, Korkmaskala village, R. Askerkhanova str., 1 (Black Stones country beach area, Makhachkala)
Tel.: +7 (928) 0541994
E-mail: abusoff@mail.ru
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