Importância da Artéria Torácica Interna como Fonte de Circulação Colateral em Pacientes com CRM com Síndrome de Leriche
Resumo Na cirurgia de revascularização do miocárdio (CRM), o uso da artéria torácica interna (ATI), é uma indicação de Classe I para a anastomose com a artéria descendente anterior esquerda (ADA). A aterosclerose é uma doença sistêmica, além da doença coronariana, um terço dos pacientes possuem doen...
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| Published in | Arquivos brasileiros de cardiologia Vol. 121; no. 5 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English Portuguese |
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Sociedade Brasileira de Cardiologia - SBC
2024
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| Abstract | Resumo Na cirurgia de revascularização do miocárdio (CRM), o uso da artéria torácica interna (ATI), é uma indicação de Classe I para a anastomose com a artéria descendente anterior esquerda (ADA). A aterosclerose é uma doença sistêmica, além da doença coronariana, um terço dos pacientes possuem doença arterial obstrutiva periférica (DAOP), que é um complicador da CRM. Na Síndrome de Leriche, a ATI pode ser fonte de circulação colateral para artérias abaixo do nível de oclusão. O seu uso inadvertido pode levar a complicações isquêmicas graves nos territórios dependentes.
Abstract In coronary artery bypass grafting (CABG) the use of the internal thoracic artery (ITA), is a Class I indication for the left anterior descending (LAD) artery. Atherosclerosis is a systemic disease, and peripheral arterial disease (PAD) is an important complicator of CABG, present in about one-third of the patients with coronary disease. In Leriche Syndrome, ITA can be the source of collateral circulation for arteries below the level of occlusion. Its inadvertent use can lead to serious ischemic complications in the dependent territories. |
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| AbstractList | Resumo Na cirurgia de revascularização do miocárdio (CRM), o uso da artéria torácica interna (ATI), é uma indicação de Classe I para a anastomose com a artéria descendente anterior esquerda (ADA). A aterosclerose é uma doença sistêmica, além da doença coronariana, um terço dos pacientes possuem doença arterial obstrutiva periférica (DAOP), que é um complicador da CRM. Na Síndrome de Leriche, a ATI pode ser fonte de circulação colateral para artérias abaixo do nível de oclusão. O seu uso inadvertido pode levar a complicações isquêmicas graves nos territórios dependentes. Resumo Na cirurgia de revascularização do miocárdio (CRM), o uso da artéria torácica interna (ATI), é uma indicação de Classe I para a anastomose com a artéria descendente anterior esquerda (ADA). A aterosclerose é uma doença sistêmica, além da doença coronariana, um terço dos pacientes possuem doença arterial obstrutiva periférica (DAOP), que é um complicador da CRM. Na Síndrome de Leriche, a ATI pode ser fonte de circulação colateral para artérias abaixo do nível de oclusão. O seu uso inadvertido pode levar a complicações isquêmicas graves nos territórios dependentes. Abstract In coronary artery bypass grafting (CABG) the use of the internal thoracic artery (ITA), is a Class I indication for the left anterior descending (LAD) artery. Atherosclerosis is a systemic disease, and peripheral arterial disease (PAD) is an important complicator of CABG, present in about one-third of the patients with coronary disease. In Leriche Syndrome, ITA can be the source of collateral circulation for arteries below the level of occlusion. Its inadvertent use can lead to serious ischemic complications in the dependent territories. Na cirurgia de revascularização do miocárdio (CRM), o uso da artéria torácica interna (ATI), é uma indicação de Classe I para a anastomose com a artéria descendente anterior esquerda (ADA). A aterosclerose é uma doença sistêmica, além da doença coronariana, um terço dos pacientes possuem doença arterial obstrutiva periférica (DAOP), que é um complicador da CRM. Na Síndrome de Leriche, a ATI pode ser fonte de circulação colateral para artérias abaixo do nível de oclusão. O seu uso inadvertido pode levar a complicações isquêmicas graves nos territórios dependentes. |
| Author | Arnoni, Renato Tambelini Petisco, Ana Cláudia Gomes Pereira Rabelato, Janayna Thaina Farsky, Pedro Silvio Sena, Marcela Dalla Bernardina |
| AuthorAffiliation | 1 Instituto Dante Pazzanese de Cardiologia São Paulo SP Brasil Instituto Dante Pazzanese de Cardiologia, São Paulo, SP – Brasil |
| AuthorAffiliation_xml | – name: 1 Instituto Dante Pazzanese de Cardiologia São Paulo SP Brasil Instituto Dante Pazzanese de Cardiologia, São Paulo, SP – Brasil – name: Instituto Dante Pazzanese de Cardiologia |
| Author_xml | – sequence: 1 givenname: Pedro Silvio orcidid: 0000-0001-7427-3237 surname: Farsky fullname: Farsky, Pedro Silvio organization: Instituto Dante Pazzanese de Cardiologia, Brasil – sequence: 2 givenname: Marcela Dalla Bernardina orcidid: 0000-0003-3862-6909 surname: Sena fullname: Sena, Marcela Dalla Bernardina organization: Instituto Dante Pazzanese de Cardiologia, Brasil – sequence: 3 givenname: Janayna Thaina surname: Rabelato fullname: Rabelato, Janayna Thaina organization: Instituto Dante Pazzanese de Cardiologia, Brasil – sequence: 4 givenname: Ana Cláudia Gomes Pereira orcidid: 0000-0001-6186-1531 surname: Petisco fullname: Petisco, Ana Cláudia Gomes Pereira organization: Instituto Dante Pazzanese de Cardiologia, Brasil – sequence: 5 givenname: Renato Tambelini orcidid: 0000-0002-4623-7834 surname: Arnoni fullname: Arnoni, Renato Tambelini organization: Instituto Dante Pazzanese de Cardiologia, Brasil |
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| Keywords | Leriche Syndrome CABG Internal Thoracic Artery Revascularização Síndrome de Leriche Artéria Torácica Interna |
| Language | English Portuguese |
| License | This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This work is licensed under a Creative Commons Attribution 4.0 International License. http://creativecommons.org/licenses/by/4.0 |
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| Notes | Potencial conflito de interesse Editor responsável pela revisão: Nuno Bettencourt Não há conflito com o presente artigo. |
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| References | Arnold JR (ref4) 2000; 49 Ferrer MC (ref3) 2007; 60 Yurdakul M (ref1) 2006; 43 Arnold JR (ref2) 2000; 69 Bobylev D (ref5) 2013; 8 Ferrer, MC; Calvo, I; Sánchez-Rubio, J; Galache, G; Diarte, JA; Lukic, A 2007; 60 Bobylev, D; Fleissner, F; Zhang, R; Haverich, A; Ismail, I 2013; 8 Arnold, JR; Greenberg, J; Reddy, K; Clements, S 2000; 49 Yurdakul, M; Tola, M; Ozdemir, E; Bayazit, M; Cumhur, T 2006; 43 Arnold, JR; Greenberg, JD; Clements, S 2000; 69 |
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| Title | Importância da Artéria Torácica Interna como Fonte de Circulação Colateral em Pacientes com CRM com Síndrome de Leriche |
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