| Effects of skeletonized versus pedicled internal thoracic artery grafts on free flow capacity during bypass. | |
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MedLine Citation:
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PMID: 12840919 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The free flow of skeletonized ITA grafts was compared with that of pedicled ITA grafts. One hundred patients with coronary artery diseases underwent elective CABG. In the group I (n = 50), the left ITA was dissected using the skeletonization technique. In the group II (n = 50), the ITA was harvested as a pedicled graft. Free flow of the ITA was recorded before and 15 min after intraluminal application of diluted papaverine. Mean arterial pressure was maintained at 9.31 kPa (70 mmHg). The results showed that before the application of papaverine, free flow of skeletonized and pedicled ITA grafts was identical between the two groups. After treatment with papaverine, the maximum free flow was significantly higher in the skeletonized ITA's in the group I (199.3 +/- 69.6 ml/min) than in the group II (145.7 +/- 70.3 ml/min, P < 0.05). There was on significant difference between the free flow after dilatation of the left and right ITA in the group I (left 199.3 +/- 69.6 ml/min, right 198.9 +/- 61.8 ml/min, respectively). It was concluded that preparation of the ITA with the skeletonization technique resulted in significantly higher free flow capacity than in pedicled grafts and would improve the results of arterial revascularization. The complication rate seems to be lower than with the conventional method. |
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Authors:
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Q Huang; O Wendler; F Langer; D Tscholl; H J Schaefers |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of Tongji Medical University = Tong ji yi ke da xue xue bao Volume: 20 ISSN: 0257-716X ISO Abbreviation: J. Tongji Med. Univ. Publication Date: 2000 |
Date Detail:
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Created Date: 2003-07-04 Completed Date: 2003-12-17 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8605495 Medline TA: J Tongji Med Univ Country: China |
Other Details:
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Languages: eng Pagination: 308-10 Citation Subset: IM |
Affiliation:
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Department of Thoracic and Cardiovascular Surgery, Tongji Hospital, Tongji Medical University, Wuhan 4300300. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Coronary Artery Bypass / methods* Coronary Disease / diagnosis, surgery* Female Humans Male Middle Aged Regional Blood Flow Thoracic Arteries / physiology, transplantation* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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