Ignite Creation Date:
2024-05-06 @ 7:53 PM
Last Modification Date:
2024-10-26 @ 3:16 PM
Study NCT ID:
NCT06173609
Status:
NOT_YET_RECRUITING
Last Update Posted:
2023-12-15
First Post:
2023-12-08
Brief Title:
Long LIMA Patch on Left Anterior Descending Coronary Artery in CABG
Sponsor:
Assiut University
Organization:
Assiut University
Study Overview
Official Title:
Long Left Internal Mammary Artery Patch on Left Anterior Descending Coronary Artery in Coronary Artery Bypass Grafting
Status:
NOT_YET_RECRUITING
Status Verified Date:
2023-12
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
To assess the effect of LIMA patch as a method for the reconstruction on diffusely diseased LAD in the early and midterm outcomes
Detailed Description:
It is well-known that coronary artery bypass graft CABG surgery significantly increases life expectancy so complete myocardial revascularization should be the main goal of the surgical intervention process 1 During coronary artery bypass surgery the surgeon removes a piece of blood vessel from the leg chest arm or belly Then the surgeon uses that piece of blood vessel called a graft to reroute blood around the blocked artery The surgery is called bypass surgery because it bypasses the blockage Complete revascularization in CABG is crucial to improve early and late outcomes after surgery Conventional procedures cannot achieve satisfactory results in severely diseased left anterior descending coronary artery
Endarterectomy for severely atherosclerotic coronary artery disease CAD has a higher surgical risk and poor late outcomes Reconstruction of diffusely diseased LAD with left internal mammary artery LIMA on-lay patch has less risk and complications than endarterectomy technique Ogus and colleagues used LIMA on-lay patches for the reconstruction of LAD based on the superior patency rate of the LIMA over other techniques which are more time-consuming According to Lüscher and colleagues the advantage of LIMA on-lay patch is to provide better vasomotor function and adjust the flow rate in proportion to the distal runoff
In the recent study by Rezk etal reported that LAD reconstruction with a LIMA patch could have a better short-term outcome than other techniques as saphenous vein patch without an endarterectomy for a diffusely diseased left anterior descending coronary artery
Endarterectomy for severely atherosclerotic coronary artery disease CAD has a higher surgical risk and poor late outcomes Reconstruction of diffusely diseased LAD with left internal mammary artery LIMA on-lay patch has less risk and complications than endarterectomy technique Ogus and colleagues used LIMA on-lay patches for the reconstruction of LAD based on the superior patency rate of the LIMA over other techniques which are more time-consuming According to Lüscher and colleagues the advantage of LIMA on-lay patch is to provide better vasomotor function and adjust the flow rate in proportion to the distal runoff
In the recent study by Rezk etal reported that LAD reconstruction with a LIMA patch could have a better short-term outcome than other techniques as saphenous vein patch without an endarterectomy for a diffusely diseased left anterior descending coronary artery
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None