Document Detail

Impact of purely internal thoracic artery T-graft technique on the mode and quality of surgical myocardial revascularization evaluated by early postoperative coronary angiography.
MedLine Citation:
PMID:  19913769     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The use of the internal thoracic artery for coronary artery bypass has improved the results of such surgery. However, bypass using only the internal thoracic arteries sometimes requires a T-graft. This purely internal thoracic artery T-graft technique has progressively become part of our surgical protocol for coronary artery bypass surgery.
AIMS: The aim of the study was to analyse the impact of this surgical technique on the degree and quality of coronary revascularization using early postoperative angiography.
METHODS: Between January 2004 and December 2006, 148 patients underwent coronary artery bypass surgery exclusively using both internal thoracic arteries in a T-graft configuration. Systematic postoperative angiography was offered to all 148 patients; it was accepted by 108 patients and refused by 40 patients.
RESULTS: There were no statistically significant differences between the two groups. In-patient mortality was 2.02% (n=3) for the whole population studied, and 1.49% (n=2) for the 134 patients who received only coronary artery bypass grafts. The revascularization rate was 89% and 3.46 coronary anastomoses were constructed per patient (range 2-6). Angiography was performed on 108 right internal thoracic artery to left internal thoracic artery anastomoses, 374 anastomoses of internal thoracic arteries to coronary arteries and 382 inter-anastomosis segments: 98% of the anastomoses and segments were patent.
CONCLUSION: The exclusive recourse to the purely internal thoracic artery T-graft technique meant that it has been possible to dispense with other types of graft while achieving complete and effective revascularization of the coronary artery.
Didier Chatel; Aures Chaib; Christophe Barbey; Francis Baud; Stephan Chassaing; Olivier Bar; Didier Blanchard
Related Documents :
12386579 - Ischemic spinal cord injury after aortocoronary bypass operation. a case report.
1392229 - The internal thoracic artery and its branches after coronary artery anastomoses in pedi...
10348549 - Functional assessment of internal mammary artery bypass grafts: case reports and review...
16953169 - Complete arterial revascularization in coronary artery bypass grafting in a patient wit...
9537539 - The assessment of internal mammary artery grafts by colour doppler in coronary artery s...
15108789 - Transbrachial coil occlusion of the large branch of an internal mammary artery coronary...
21375779 - A double shunt technique for the prevention of ischaemia of a congenital, solitary, pel...
16869459 - Value of monitoring pulse oximetry for imputability of patent foramen ovale in transien...
21484179 - Central retinal artery occlusion in wegener's granulomatosis: a diagnostic dilemma.
Publication Detail:
Type:  Journal Article     Date:  2009-10-20
Journal Detail:
Title:  Archives of cardiovascular diseases     Volume:  102     ISSN:  1875-2128     ISO Abbreviation:  Arch Cardiovasc Dis     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-11-16     Completed Date:  2010-03-01     Revised Date:  2011-04-25    
Medline Journal Info:
Nlm Unique ID:  101465655     Medline TA:  Arch Cardiovasc Dis     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  677-83     Citation Subset:  IM    
Clinique Saint-Gatien, 8, place de la Cathédrale, 37000 Tours, France.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Coronary Angiography*
Coronary Artery Bypass / adverse effects,  methods*,  mortality
Coronary Stenosis / mortality,  physiopathology,  radiography,  surgery*
Graft Occlusion, Vascular / etiology,  physiopathology,  radiography*
Mammary Arteries / physiopathology,  radiography,  surgery*
Middle Aged
Severity of Illness Index
Time Factors
Treatment Outcome
Vascular Patency*

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

Previous Document:  Pilot study of emotional freedom techniques, wholistic hybrid derived from eye movement desensitizat...
Next Document:  Clinical contributions of 64-slice computed tomography in the evaluation of cardiomyopathy of unknow...