Document Detail


Extensive use of arterial grafts for coronary artery bypass grafting in Japanese patients.
MedLine Citation:
PMID:  8049935     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between August 1985 and December 1992, 298 patients underwent coronary artery bypass grafting with two or more distal anastomoses using arterial grafts. There were 279 males and 19 females, with an average age of 58.4 years. Thirty-one patients underwent sequential bypass with the left internal mammary artery. The remaining 267 patients received two or more arterial grafts. The three major combinations were the left and right internal mammary arteries (120 cases), the left internal mammary and right gastroepiploic arteries (100 cases) and the left and right internal mammary and right gastroepiploic arterial (43 cases). An additional saphenous vein bypass was constructed in 113 patients, and the average number of distal anastomoses was 2.70 per patient. The operative mortality rate was 1.0% (three patients), and hospital mortality rate 0.7% (two patients). Angiographic patency rate was 97.9% in arterial grafts and 94.3% in venous grafts. There were seven late deaths (three due to cardiac causes), and the 7-year actuarial survival and event-free rates were 92.8% and 86.6%, respectively. In conclusion, the extensive usage of arterial grafts in Japanese patients was accompanied by excellent long-term results without increased operative mortality and morbidity.
Authors:
H Nishida; J Hirota; F Yamaki; A Takazawa; T Koyanagi; M Endo; H Koyanagi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  2     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  1994 Feb 
Date Detail:
Created Date:  1994-09-06     Completed Date:  1994-09-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  93-6     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Arteries / transplantation
Child
Coronary Artery Bypass / methods*,  mortality
Female
Humans
Japan
Male
Middle Aged
Transplantation, Autologous
Treatment Outcome
Vascular Patency

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


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