Baehrel B, Gandjbakhch I, Place S, Cham B, Etiévent P, Sahnoun Y, Guiraudon G, Cabrol C
Arch Mal Coeur Vaiss. 1979 Jun;72(6):669-76.
The surgical indications of coronary endarterectomy were defined from a study of 50 cases in which endarterectomy was associated with aorto-coronary bypass surgery. This total represented 6 p. 100 of all the aorto-coronary bypass operations performed in the same period. Coronary endarterectomy was performed "on principal" for the right coronary artery, and "of necessity" for the left anterior descending artery. The special techniques of endarterectomy on the left anterior descending artery are described. Endarterectomy does not increase the operative risk and enables revascularisation of vessels unsuitable for bypass surgery. 85 p. 100 patients are asymptomatic with an average follow up period of 2 years after endarterectomy and aorto-coronary bypass graft of the right coronary artery.
冠状动脉内膜切除术的手术指征是通过对50例内膜切除术与主动脉-冠状动脉搭桥手术联合进行的病例研究确定的。这一总数占同期所有主动脉-冠状动脉搭桥手术的6%。右冠状动脉的冠状动脉内膜切除术为“主要”进行，左前降支动脉则为“必要”进行。文中描述了左前降支动脉内膜切除术的特殊技术。内膜切除术不会增加手术风险，并且能够使不适于搭桥手术的血管实现血管再通。85%的患者无症状，在右冠状动脉内膜切除术和主动脉-冠状动脉搭桥移植术后平均随访2年。
