Document Detail


64-slice computed tomography of bovine internal mammary artery coronary grafts.
MedLine Citation:
PMID:  20124299     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In cases where conventional aortocoronary grafts cannot be used, No-React bovine internal mammary artery is a possible alternative. The aim of this study was to assess the patency and clinical performance of bovine internal mammary artery as a coronary bypass conduit, using 64-slice computed tomography coronary angiography. Eleven patients (mean age, 68.2 + or - 5.9 years) received 11 bovine grafts between 2002 and 2006. Eight of these patients were alive after a mean follow-up of 29.4 + or - 16.3 months. Their mean additive EuroSCORE was 6.5 + or - 3.2. The mean number of distal anastomoses was 2.5 + or - 0.5. Six grafts were anastomosed to the right coronary artery, 2 to the left anterior descending artery, and 3 to the circumflex artery. All 11 bovine grafts were found to be occluded after 14.1 + or - 3.6 months. This demonstrates very poor results with the bovine coronary graft, thus we do not recommend its use, and we suggest considering an hybrid approach in selected cases.
Authors:
Andrea Colli; Alessandro Maria Budillon; Filippo Cademartiri; Alessandro Palumbo; Erica Maffei; Tiziano Gherli
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Asian cardiovascular & thoracic annals     Volume:  18     ISSN:  1816-5370     ISO Abbreviation:  Asian Cardiovasc Thorac Ann     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-03     Completed Date:  2010-03-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9503417     Medline TA:  Asian Cardiovasc Thorac Ann     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  59-64     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, Hospital Universitari Germans Trias i Pujols, Cra. Canyet sn 08916 Badalona, Barcelona, Spain. colli.andrea.bcn@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Animals
Blood Vessel Prosthesis
Cattle
Contrast Media / diagnostic use
Coronary Angiography / methods*
Coronary Artery Bypass / methods
Equipment Failure Analysis / methods,  statistics & numerical data
Female
Follow-Up Studies
Humans
Internal Mammary-Coronary Artery Anastomosis / methods*
Iopamidol / analogs & derivatives,  diagnostic use
Male
Mammary Arteries / radiography,  transplantation*
Observer Variation
Prosthesis Failure
Radiographic Image Enhancement / methods
Survival Analysis
Tomography, X-Ray Computed / methods*
Transplantation, Heterologous
Treatment Outcome
Vascular Patency*
Chemical
Reg. No./Substance:
0/Contrast Media; 62883-00-5/Iopamidol; 78649-41-9/iomeprol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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