Home / Healthcare/ Bypass surgery with total arterial revascularisation

Bypass surgery with total arterial revascularisation


Comments / {{hitsCtrl.values.hits}} Views / Tuesday, 3 October 2017 00:00


Coronary Artery Bypass Graft (CABG) operations are one of the most commonly performed surgical procedures worldwide. 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 revascularization (TAR) of the myocardium due to superior patency and long term survival results,” said Dr. Kesava Dev, Resident Cardiovascular Surgeon at Durdans Heart Centre.

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.

Dr. Wimal Karandagoda, Director Medical Services and Chief Operations Officer at Durdans 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.” 

Since opening in 1999, the Durdans Heart Centre has pioneered and perfected numerous leading-edge techniques and procedures across a range of cardiac services, including minimally invasive coronary bypass operations performed through small incisions, that are much less traumatic to the body than traditional open heart surgery which requires opening the breastbone through the chest (sternotomy) and the support of a heart-lung machine. 

 


Share This Article


DISCLAIMER:

1. All comments will be moderated by the Daily FT Web Editor.

2. Comments that are abusive, obscene, incendiary, defamatory or irrelevant will not be published.

3. We may remove hyperlinks within comments.

4. Kindly use a genuine email ID and provide your name.

5. Spamming the comments section under different user names may result in being blacklisted.

COMMENTS

Today's Columnists

Is there value in surveillance? Ask the Chinese

Tuesday, 22 May 2018

Global commentary would suggest that surveillance (whether offline or online) casts a shadow on personal freedoms and any conversation that involves such spy games quite quickly descends into a 1984-esque discussion about dystopian futures. However,


Mangala’s Gam Peraliya: Good move but essential requirement a village level database

Monday, 21 May 2018

Finance Minister Mangala Samaraweera, announcing the Government’s decision to move for a flexible fuel price system based on international prices built into a pricing formula, made a side announcement as well.


New mandate to navigate ‘Nation’s management mentor’

Monday, 21 May 2018

I was delighted to be reappointed by the University Grants Commission (UGC) as the Director of the Postgraduate Institute of Management (PIM) for the second term of three years.


Take a check on your Board Directors

Monday, 21 May 2018

The public entrusts the Government to collect taxes and invest them prudently to ensure quality of life. Similarly, the shareholders (minority ones in particular) entrust the Board of Directors to protect and grow their investments.


Columnists More