An interventional study of A method of operation: LIMA-GSV-SCVBG and BIMA-SCVBG in Coronary Atherosclerotic Heart Disease, sponsored by Beijing Anzhen Hospital. Status unknown at 1 site in China. Open to participants aged Up to 70 Years. Per ClinicalTrials.gov, last updated 2017-11-07.
Sponsored by Beijing Anzhen Hospital · Not applicable, Interventional, and Treatment
Apply a new operation method of Left Internal Mammary Artery (LIMA)-Greater Saphenous Vein (GSV)-SCVBG to the treatment of patients with diffuse coronary artery disease,through clinical randomized controlled study,compared with patients of bilateral internal mammary artery (BIMA)-SCVBG and evaluate both of therapeutic effects and prognosis.
Exclusion Criteria:
Experimental group: The intervention:we apply a new operation on the patients with diffuse coronary artery disease(DCAD), we choose LIMA-GSV composited Y graft and anastomose the GSV with selective coronary vein.
Procedure: A method of operation: LIMA-GSV-SCVBG
The other group:The intervention: We choose bilateral internal mammary artery composited LIMA-Right Mammary Internal Artery(RIMA) y graft, and anastomose the RIMA with selective coronary vein.
Procedure: BIMA-SCVBG
On the experimental group,We treat patients with the operation of LIMA-GSV composited Y graft and anastomose the GSV with selective coronary vein
On the other group, We treat patients with the operation of bilateral internal mammary artery composited LIMA-Right Mammary Artery(RIMA) y graft and anastomose the Right Mammary Artery(RIMA) with selective coronary vein.
The patency rate of bridge vessels and selective coronary vein
We will assess the patency rate during a follow-up of 1 year, and continue to follow up to 3 years after the end of the project
Time frame: 1-3 years
Main adverse cardiovascular and cerebrovascular events
We will follow up the main adverse cardiovascular and cerebrovascular events ( death, myocardial infarction, stroke and repeated revascularization) 7 days, 1 month, 3 months, 6 months and 1 year after the operation and continue to 3 years.
Time frame: 1-3 years
Wound complications
We will follow up the wound complications (sternum and mediastinal infection, incision infection, fat liquefaction) 7 days, 1 month, 3 months, 6 months and 1 year after the operation and continue to 3 years.
Time frame: 1-3 years
Plan to share: Undecided
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Beijing Anzhen Hospital