http://www.cnr.it/ontology/cnr/individuo/prodotto/ID23900
Myocardial perfusion imaging evidence of functionally complete revascularization by minimally invasive direct coronary artery bypass in 2-vessel coronary artery disease (Articolo in rivista)
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- Myocardial perfusion imaging evidence of functionally complete revascularization by minimally invasive direct coronary artery bypass in 2-vessel coronary artery disease (Articolo in rivista) (literal)
- Anno
- 2007-01-01T00:00:00+01:00 (literal)
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- De Maria R.; Repossini A.; Dabdoob W.; Parolini M.; Cianci V.; Bestetti A.; Binetti G.; Arena V.; Parodi O. (literal)
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- In: Journal of Nuclear Cardiology, vol. 14 pp. 860 - 868. Elsevier, 2007. (literal)
- Note
- ISI Web of Science (WOS) (literal)
- Titolo
- Myocardial perfusion imaging evidence of functionally complete revascularization by minimally invasive direct coronary artery bypass in 2-vessel coronary artery disease (literal)
- Abstract
- Background. Whether patency of a second diseased vessel still impacts myocardial perfusion when complete revascularization of the left anterior descending coronary artery (LAD) territory has been achieved is currently undetermined. In patients with 2-vessel coronary artery disease and complex LAD lesions, we evaluated the impact of single LAD or integrated revascularization on single photon emission computed tomography-assessed reversible myocardial ischemia. Methods and Results. Thirty-five candidates for revascularization with double-vessel disease including the LAD and a preoperative stress single photon emission computed tomography study were studied. Revascularization was performed by minimally invasive direct coronary artery bypass (MIDCAB) alone (n = 15) or by an integrated procedure with second-vessel angioplasty, either soon after surgery (n = 13) or at 2 months (n = 7), according to the extent of reversible perfusion defects in the second vessel territory. At 1 year, the total ischemic area decreased from 9.3 ± 5.1 to 0.8 ± 1.5 in MIDCAB-only patients and from 8.2 ± 4.9 to 1.6 ± 2.9in the integrated group (P =.87 for treatment and P .001 for time). The ischemic area in the second vessel territory similarly decreased in both groups (P (literal)
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