Document Detail


Hospital outcome after aorta-radial versus internal thoracic artery-radial artery grafts.
MedLine Citation:
PMID:  15548185     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: We researched our data to determine whether use of radial artery (RA) led to similar hospital morbidity as use of pedicled internal thoracic artery (ITA) with vein grafts. We also investigated if use of RA, different RA operative techniques, or number of inflow grafts were predictors for hospital outcome. METHOD: Retrospectively the hospital outcome of the first 512 patients with RAs (RA group) was compared with 108 matched patients with left ITA (LITA) and vein grafts (LITA control group). Two subgroups of RA operative techniques were further analyzed: 327 patients with RA directly from aorta (aorta-RA group), and 185 patients with RA from ITA, as a composite graft, (ITA-RA group). RESULTS: Hospital outcome of the RA group was similar to that of the LITA control group. When all ischemic events (IE) were grouped together, univariate analysis showed that aorta-RA group resulted in less IE than the ITA-RA group (2.1% versus 5.9%, respectively, p = 0.025). Number of inflow grafts did not influence IE. Multivariate analysis, however, did not show that technique of proximal RA anastomosis or number of inflow grafts were predictors for IE. CONCLUSIONS: Hospital outcome after the use of the RA is similar to that of LITA with vein grafts. Univariate analysis shows less IE after direct aorta-RA anastomoses, but multivariate analysis did not show that technique of proximal RA anastomosis and number of inflow grafts are important predictors for hospital outcome.
Authors:
Eric Berreklouw; Esmeralda Pompei; Enrico Ferrari; H Ibrahim Ozdemir; Joost ter Woorst
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  19     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2004 Nov-Dec
Date Detail:
Created Date:  2004-11-19     Completed Date:  2006-08-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  520-7     Citation Subset:  IM    
Affiliation:
Division of Cardio-thoracic Surgery, Catharina Hospital, Eindhoven, The Netherlands. eberr@csi.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Analysis of Variance
Anastomosis, Surgical
Aorta / surgery*
Coronary Artery Bypass* / adverse effects
Coronary Disease / epidemiology,  surgery
Female
Humans
Incidence
Male
Mammary Arteries / surgery*
Middle Aged
Predictive Value of Tests
Radial Artery / transplantation*
Retrospective Studies
Saphenous Vein / transplantation
Treatment Outcome

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


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