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Referral and coordination of healthcare from primary care to angiology and vascular surgery - a center's experience

2018Journal article Open access
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dc.contributor.authorRocha Neves, J
dc.contributor.authorCasal Moura, M
dc.contributor.authorFerreira, A
dc.contributor.authorSousa, J
dc.contributor.authorGamas, L
dc.contributor.authorVieira, M
dc.contributor.authorPereira, A
dc.contributor.authorAlves, H
dc.contributor.authorTeixeira, J
dc.date.accessioned2018-11-09T14:04:36Z
dc.date.available2018-11-09T14:04:36Z
dc.date.issued2018
dc.description.abstractINTRODUCTION: Minimally invasive revascularization of the left anterior descending coronary artery has gained popularity. Recently, the emergence of new surgical instruments and the improvement of the technique, allowed its use by routine. Its use in Heart Team allows excellent results. Our aim is to present the results of patients undergoing this technique in our center. METHODS: Retrospective study of patients submitted to minimally invasive revascularization of the left anterior descending coronary artery at our center. RESULTS: We identified 14 patients. The mean age was 67 years old. In the total of the procedures, 79% were elective and 21% urgent. The ventricular function was preserved in 86% of the patients. In the preoperative catheterization, 64% of the patients showed single disease of the anterior descending coronary artery, 29% had trunk lesions and 3 vessels and 7% had lesion of 2 vessels. The mean Euroscore II was 4.8%. The mean time of surgery was 103 minutes with a mean blood loss of 250mL. The main complications were wound dehiscence and revision of hemostasis. The mean hospitalization rate was 6.2 days. The hospital survival rate was 100%. CONCLUSION: Minimally invasive revascularization allows coronary artery bypass grafting with the best conduit. Revascularization may be total in single disease of the left anterior descending artery, or in case of multivessel disease, achieved with hibrid revascularization, with angioplasty of the remaining vessels. This technique has shown to be promising and safe, being the discussion in Heart Team of the patient candidates essential for achieving the best results.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRev Port Cir Cardiotorac Vasc. 2018 Jan-Jun;25(1-2):41-48.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.23/1282
dc.language.isoporpt_PT
dc.peerreviewedyespt_PT
dc.subjectCuidados de Saúde Primáriospt_PT
dc.subjectDoenças Vascularespt_PT
dc.subjectEncaminhamento e Consultapt_PT
dc.titleReferral and coordination of healthcare from primary care to angiology and vascular surgery - a center's experiencept_PT
dc.title.alternativeReferenciação e articulação de cuidados entre cuidados de saúde primários e cuidados hospitalares de angiologia e cirurgia vascular experiência de um centropt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1-2pt_PT
oaire.citation.startPage41-48pt_PT
oaire.citation.volume25pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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