Ischemic Arrest vs Electrical Fibrillation for Myocardial Revascularization

William G. Plested, MD; Joseph S. Carey, MD; Eugene A. Mazzei, MD
Arch Surg. 1974;109(6):750-753. doi:10.1001/archsurg.1974.01360060020005.
Text Size: A A A
Published online

From January 1972 through August 1973, direct myocardial revascularization by saphenous vein bypass grafting was performed in 108 patients using ischemic cardiac arrest. One patient died in the hospital. There were no deaths in patients undergoing circumflex grafts. In order to minimize ischemic time, the operative technique included alternating distal and proximal anastomoses, using total aortic occlusion for the distal anastomosis, partial aortic occlusion for the proximal anastomosis, and a running suture method. Follow-up results indicate marked improvement in symptomatic relief; only one patient was not improved. This technique has proved more satisfactory than that of electrical fibrillation used in a previous series where six patients of 58 were hospital deaths.


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.