Total Arterial Revascularization (TAR)
NCT03753048 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 880
Last updated 2018-12-11
Summary
Total arterial revascularisation with in-situ confihuration of BITA is superior than y-graft in patients underwent CABG.
Conditions
- Coronary Artery Disease
- Coronary Artery Bypass Grafting
Interventions
- PROCEDURE
-
Y-Graft
Y-Graft Configuration Using BITA. Surgery can be performed off-pump or on the CPB. Both internal thoracic arteries should be harvested in semi-sceletonized fashion. After the administration of 3 mg/kg i/v UFH, the left internal thoracic artery is cut off distally and the right internal thoracic artery is cut off proximally and distally. Then they anastomose the following way. Left internal thoracic artery should be anastomosed to the left anterior descending artery (LAD) at first. Secondly, distal part of the right internal thoracic artery should be anastomosed to the obtuse marginal artery. Finally, proximal part of the right internal thoracic artery is anastomosed to the left internal thoracic artery as Y-graft in the end to side fashion. If it is nessesary, the right coronary artery system can be bypassed by separate autoarterial (eg. radial artery) or autovenous graft with proximal anastomose to the aorta.
- PROCEDURE
-
In-Situ
In-Situ Configuration Using BITA. Surgery can be performed off-pump or on the CPB. Both internal thoracic arteries should be harvested in semi-sceletonized fashion. After the administration of 3 mg/kg i/v UFH, both internal thoracic arteries are cut off distally. Then they anastomose the following way. Right internal thoracic artery should be anastomosed to the left anterior descending artery (LAD) at first. Secondly, left internal thoracic artery should be anastomosed to the obtuse marginal artery. If it is nessesary, the right coronary artery system can be bypassed by separate autoarterial (eg. radial artery) or autovenous graft with proximal anastomose to the aorta.
Sponsors & Collaborators
-
Kemerovo Cardiology Center
collaborator OTHER -
Meshalkin Research Institute of Pathology of Circulation
lead NETWORK
Principal Investigators
-
Dmitry Sirota, MD · Meshalkin National Medical Research Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 25 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-03-13
- Primary Completion
- 2023-03-31
- Completion
- 2024-03-31
Countries
- Russia
Study Locations
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