Thu, 28 Mar 2024 Today's Paper

Patients experience superior survival in bypass surgery with total arterial revascularisation

By

10 October 2017 12:08 am - 0     - {{hitsCtrl.values.hits}}

A A A

Coronary Artery Bypass Graft (CABG) operations are one of the most commonly performed surgical procedures worldwide and progressive advances in surgical techniques and perioperative care has led to an increasing number of patients undergoing bypass surgery during the past decade.


The saphenous vein graft has been widely accepted as the conduit of choice for myocardial revascularisation, even though it involves excessive surgical invasiveness.
“Conventional CABG consists of three or four bypass grafts where one graft is the left internal mammary artery (LIMA) and the others usually all come from the saphenous veins in the legs. However, arterial conduits are now being used in suitable patients as choices for the second and third conduits in place of saphenous vein grafts to achieve total arterial revascularisation (TAR) of the myocardium due to superior patency and long term survival results,” said Durdans Heart Centre Resident Cardiovascular Surgeon Dr. Kesava Dev.


Latest studies suggest that total arterial revascularisation provides better long-term survival than a single arterial graft. Using the right internal mammary artery (RIMA) as a second conduit improves long-term outcomes, especially among diabetic and obese patients. Additionally, the overall repeat procedures are far less in those with TAR.
Durdans Chief Operations Officer and Medical Services Director Dr. Wimal Karandagoda said: “TAR has not been widely embraced by cardiac surgeons locally, as many surgeons are not comfortable using the two internal mammary arteries. With an ambition for globally recognised medical excellence, our cardiac surgeons at Durdans Heart Centre go to the greater extends to perform complicated TAR cases with great expertise. Especially, Dr. Dev has a legacy at Durdans in conducting TAR in bypass surgery and his results are of international standards.”


Order Gifts and Flowers to Sri Lanka. See Kapruka's top selling online shopping categories such as Toys, Grocery, Kids Toys, Birthday Cakes, Fruits, Chocolates, Clothing and Electronics. Also see Kapruka's unique online services such as Money Remittence,Astrology, Courier/Delivery, Medicine Delivery and over 700 top brands. Also get products from Amazon & Ebay via Kapruka Gloabal Shop into Sri Lanka

  Comments - 0

Order Gifts and Flowers to Sri Lanka. See Kapruka's top selling online shopping categories such as Toys, Grocery, Kids Toys, Birthday Cakes, Fruits, Chocolates, Clothing and Electronics. Also see Kapruka's unique online services such as Money Remittence,Astrology, Courier/Delivery, Medicine Delivery and over 700 top brands. Also get products from Amazon & Ebay via Kapruka Gloabal Shop into Sri Lanka

Add comment

Comments will be edited (grammar, spelling and slang) and authorized at the discretion of Daily Mirror online. The website also has the right not to publish selected comments.

Reply To:

Name - Reply Comment





Order Gifts and Flowers to Sri Lanka. See Kapruka's top selling online shopping categories such as Toys, Grocery, Kids Toys, Birthday Cakes, Fruits, Chocolates, Clothing and Electronics. Also see Kapruka's unique online services such as Money Remittence,Astrology, Courier/Delivery, Medicine Delivery and over 700 top brands. Also get products from Amazon & Ebay via Kapruka Gloabal Shop into Sri Lanka

VAT increase: SOUNDs death knell for publishers, readers

Though the Government imposed VAT (Value Added Tax) on vegetables and other e

How female change-makers are driving Sri Lanka’s energy saving platform

Saving energy has become more of a responsibility than a habit in today’s c

A dull Ramadan awaits Muslims amidst the Soaring Cost of Living

In the coming days, Muslims across the world will welcome the Holy Month of R

New wildlife underpass to curtail HEC

As of February 2024, Sri Lanka lost another 38 elephants as a result of the H