{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:32:43Z","timestamp":1777915963652,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T00:00:00Z","timestamp":1709683200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>In order to evaluate the clinical efficacy of coronary endarterectomy (CE) and coronary artery bypass grafting (CABG) in patients with diabetes complicated with three diffuse coronary artery stenosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on 460 patients with diabetes mellitus and diffuse three-vessel coronary artery disease who underwent CABG in our department from September 2015 to December 2021. The patients were divided into two groups according to whether they underwent CE: the simple CABG group (group A, n = 254) and the CABG combined CE group (group B, n = 206). The perioperative outcomes, recurrent angina pectoris during 1-year follow-up, and the patency rate of the grafted vessel in coronary CT angiography were compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There was no significant difference in the 30\u00a0days mortality rate between the two groups (2.3% vs 2.4%, p &lt; 0.05). Group A had a shorter operation time [(3.55 \u00b1 0.59) h versus (4.35 \u00b1 0.65) h], less bypass grafts [(2.72 \u00b1 0.83) versus (3.65 \u00b1 0.72) vessels\/case], a lower incidence of perioperative myocardial infarction (7.1% vs 12.6%), and a lower number of patent graft vessels at 1-year follow-up [(2.15 \u00b1 0.42) versus (2.88 \u00b1 0.68) vessels\/case] compared with group B (all p &lt; 0.05). Group A had a higher incidence of recurrent angina during follow-up (14.49% vs 6.47%) ( p &lt; 0.05). Although there was no significant difference in the incidence of MACCE events between the two groups, the probability of revascularization was higher in group A.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Compared with single CABG, combined CE in patients with diabetes mellitus and diffuse three-vessel coronary artery disease can achieve more complete revascularization, reduce the recurrence of angina pectoris and the needing of postoperative revascularization, but the incidence of perioperative myocardial infarction is higher.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02676591241237640","type":"journal-article","created":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T14:09:59Z","timestamp":1709734199000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Endarterectomy may be an effective additional treatment for three diffuse coronary artery disease complicated with diabetes"],"prefix":"10.1177","author":[{"given":"Haiming","family":"Li","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Capital Medical University Beijing Anzhen Hospital, Chaoyang-qu, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4317-7805","authenticated-orcid":false,"given":"Chengxiong","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Capital Medical University Beijing Anzhen Hospital, Chaoyang-qu, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Capital Medical University Beijing Anzhen Hospital, Chaoyang-qu, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,6]]},"reference":[{"key":"bibr1-02676591241237640","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2013.08.003"},{"key":"bibr2-02676591241237640","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-387"},{"key":"bibr3-02676591241237640","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.584524"},{"key":"bibr4-02676591241237640","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.09.006"},{"key":"bibr5-02676591241237640","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivaa009"},{"key":"bibr6-02676591241237640","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.002114"},{"key":"bibr7-02676591241237640","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(96)00206-9"},{"key":"bibr8-02676591241237640","first-page":"PE01","volume":"11","author":"Ghatanatti R","year":"2017","journal-title":"J Clin Diagn 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