{"id":5557,"date":"2026-05-11T09:16:16","date_gmt":"2026-05-11T07:16:16","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=5557"},"modified":"2026-05-11T09:18:45","modified_gmt":"2026-05-11T07:18:45","slug":"cvja-2025-102","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2025-102\/","title":{"rendered":"Dual antiplatelet therapy is an effective treatment method after coronary artery endarterectomy: a single-centre retrospective study"},"content":{"rendered":"    <div id=\"article\">                                                                                                                        \r\n        <div id=\"title-container\">                                                                                                    \r\n        <div id=\"authors-title\">                                                                                                            \r\n        <!--Aurthors under Title-->                                                                                                            \r\n            \r\nYal\u00e7\u0131n G\u00fcnerhan, Mehmet I\u015f\u0131k, Serkan Y\u0131ld\u0131r\u0131m, Ali Vasfi A\u011flarc\u0131, Ali Demiray, Y\u00fcksel Dereli\r\n<\/div>        \r\n<\/div>                                                                                                                            \r\n            <div id=\"copyright\">\r\n        <strong>Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n        of Cardiovascular Journal of Africa.<\/div>\r\n    <div style=\"clear: both;\"><\/div>                                                                                                                                \r\n        <div id=\"article-abstract\">                                                                                                            \r\n            <div id=\"abstract-title\">                                                                                                        \r\n                    Abstract                                                                                                                \r\n                <\/div>                                                                                                                        \r\n                                                                                                                                \r\n            <div id=\"abstract-content\">                                                                                                        \r\n            <!--Content of Abstract Article-->                                                                                                \r\n            <!--<strong>\"Abstract titles\":<\/strong>-->                                                                                        \r\n            <!--<br\/> at the end of each section!!-->                                                                                        \r\n                                                                                                                                                     \r\n\r\n        <strong>Aim:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nIt was aimed to investigate the patients who underwent coronary artery bypass grafting with coronary endarterectomy (CABG-CE) and postoperative dual antiplatelet therapy (DAPT) in terms of acute coronary syndrome, mortality and morbidity in the early period.\r\n<br \/>   \r\n\r\n        <strong>Method:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nNinety-nine patients who underwent endarterectomy during CABG between 2022 and 2024 were included in the study. DAPT was applied after surgery. Preoperative and postoperative electrocardiogram (ECG), echocardiography (Echo), ejection fraction (EF) changes, operative time, postoperative first 30-day mortality, and length of stay in the intensive care unit (ICU) were investigated.\r\n<br \/>\r\n                \r\n                <strong>Result:<\/strong>                                                                                                    \r\nThe left anterior descending (LAD) coronary artery endarterectomy rate was 38.4%. Among those who underwent LAD endarterectomy, eight had ECG changes in favour of myocardial infarction (MI), eight had postoperative arrhythmia, and two had mortality. The right coronary artery (RCA) endarterectomy rate was 38.4%. Of these cases, two had ECG changes, nine had postoperative arrhythmia, and two had mortality. The circumflex artery (CX) endarterectomy rate was 12.1%. Of these, three had ECG changes, five had postoperative arrhythmia, and two had mortality. Although the bypass numbers were equal, the cross-clamping time was longer in patients who underwent LAD endarterectomy than in those who underwent RCA or CX endarterectomy. The postoperative blood replacement requirement was 1.6 \u00b1 1.4 units. The mean length of stay in the ICU was 4.0 \u00b1 4.5 days.\r\n<br \/>\r\n                                                                                                                                                                                                                                                                        \r\n                                                                                                                                                \r\n        <strong>Conclusion:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nDAPT is an effective treatment method after CABG-CE surgery, especially for patients with diabetes mellitus (DM) and coronary artery disease and diffuse, long-segment, calcified plaque.\r\n<br \/>    \r\n                                                                                                        \r\n\r\n                                                                                                                                                \r\n            <\/div>                                                                                                                            \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                        \r\n                                                                                                                                                \r\n        <div id=\"keywords\">                                                                                                                    \r\n                                                                                                                                            \r\n            <strong>Keywords:<\/strong>                                                                                                        \r\n                                                                                                                                            \r\n            <strong>Coronary endarterectomy, coronary artery bypass grafting, dual antiplatelet therapy<\/strong>                                                                                                                                                                                                                    \r\n                                                                                                                                                \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                                \r\n    <div id=\"publish-info\">                                                                                                                    \r\n                                                                                                                                \r\n    <strong>Submitted:<\/strong> July 23, 2025; <!--Month day, year; -->    \r\n    <strong>Accepted:<\/strong> November 13, 2025; <!--Month day, year; -->                                                                            \r\n    <strong>Published:<\/strong> May 8, 2026<!--Month day, year; -->                                                                                                                            <br \/>                                                            \r\n        <em>Cardiovasc J Afr 2025; <b>37<\/b>: 158-164<!--pg no. till pg no. \"eg. 4-7\"--><\/em>\r\n        <br \/><strong>Volume 37, Issue 2<\/strong> <br \/>                                                                            \r\n        <\/div>                                                                                                                            \r\n                                                                                                                                        \r\n    <div id=\"DOI\">                                                                                                                    \r\n            DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2025-102<!--DOI number-->                                                                \r\n        <\/div>                                                                                                                            \r\n                \r\n                <div id=\"author-affiliation\">                                                                                                \r\n \r\n\r\n<strong>Department of Cardiovascular Surgery, Faculty of Medicine, Necmettin Erbakan University, Konya, T\u00fcrkiye\r\n\r\n\r\n<\/strong>    <br \/>                                                                            \r\nYal\u00e7\u0131n G\u00fcnerhan<br \/>\r\nMehmet I\u015f\u0131k<br \/>\r\nSerkan Y\u0131ld\u0131r\u0131m<br \/>\r\nAli Demiray<br \/>\r\nY\u00fcksel Dereli\r\n\r\n<br \/><br \/>   \r\n\r\n<strong>Department of Biostatistics, Faculty of Medicine, Kastamonu University, Kastamonu T\u00fcrkiye\r\n\r\n<\/strong>    <br \/>                                                                            \r\nAli Vasfi A\u011flarc\u0131\r\n\r\n<br \/><br \/>   \r\n\r\n                [soshsc hide=\"logged\"]\r\n                <strong>You need to be <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/member-login\/\" target=\"_blank\" rel=\"noopener\">logged in to view and download<\/a> the full text PDF version. <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/register\/\" target=\"_blank\" rel=\"noopener\">Register for a free account?<\/a><\/strong> <br \/><br \/>[\/soshsc]\r\n                \r\n                \r\n                \r\n                <\/div>\r\n    \r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>It was aimed to investigate the patients who underwent coronary artery bypass grafting with coronary endarterectomy (CABG-CE) and postoperative dual antiplatelet therapy (DAPT) in terms of acute coronary syndrome, mortality and morbidity in the early period.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[44,110],"tags":[],"class_list":["post-5557","post","type-post","status-publish","format-standard","hentry","category-cardiovascular-topics","category-volume-37-issue-2"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Dual antiplatelet therapy is an effective treatment method after coronary artery endarterectomy: a single-centre retrospective study - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"It was aimed to investigate the patients who underwent coronary artery bypass grafting with coronary endarterectomy 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